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Statistical release P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
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Mortality and causes of death in South Africa, 2014: Findings from death notification / Statistics South Africa Published by Statistics South Africa, Private Bag X44, Pretoria 0001
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Stats SA Library Cataloguing-in-Publication (CIP) Data Mortality and causes of death in South Africa, 2014: Findings from death notification/Statistics South Africa. Pretoria: Statistics South Africa, 2015
138 pp
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Preface This statistical release presents information mainly on mortality and causes of death in South Africa for deaths that occurred in 2014. It also provides information on death occurrences from 1997 to 2013 to show trends in mortality and causes of death. It is based on data acquired through the civil registration system that is maintained by the Department of Home Affairs.
PJ Lehohla Statistician-General
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Table of Contents Preface
......................................................................................................................................................... iii
List of tables
........................................................................................................................................................viii
List of figures
......................................................................................................................................................... ix
1.
Introduction ............................................................................................................................................ 1
1.1
Background .............................................................................................................................................. 1
1.2
Objectives of this statistical release ......................................................................................................... 1
1.3
Scope of this statistical release ................................................................................................................ 2
1.4
Organisation and presentation of this statistical release.......................................................................... 2
2.
Data and methods .................................................................................................................................. 3
2.1
Data source .............................................................................................................................................. 3
2.2
Data processing ....................................................................................................................................... 3
2.2.1
Classification of the causes of death........................................................................................................ 3
2.2.2
Automated generation of the underlying causes of death........................................................................ 4
2.3
Data editing .............................................................................................................................................. 4
2.4
Assessment of the quality of data ............................................................................................................ 5
2.5
Data analysis ............................................................................................................................................ 5
3.
Mortality .................................................................................................................................................. 7
3.1
Levels and trends of mortality .................................................................................................................. 7
3.2
Age differentials........................................................................................................................................ 8
3.3
Sex differentials ...................................................................................................................................... 10
3.4
Age and sex differentials ........................................................................................................................ 11
3.4.1
Distribution of deaths by age and sex .................................................................................................... 11
3.4.2
Median ages at death by sex ................................................................................................................. 12
3.4.3
Sex ratios by age.................................................................................................................................... 13
3.5
Population group differences in mortality ............................................................................................... 14
3.6
Marital status differences in mortality ..................................................................................................... 14
3.7
Differences in mortality by smoking status ............................................................................................. 15
3.8
Differences in mortality by place or institution of death occurrence....................................................... 15
3.9
Geographic variations in mortality .......................................................................................................... 16
3.9.1
Differences by province, age and sex .................................................................................................... 16
3.9.2
Differences by district municipality, age and sex ................................................................................... 17
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4.
Causes of death.................................................................................................................................... 19
4.1
Introduction............................................................................................................................................. 19
4.2
Reported causes of death ...................................................................................................................... 19
4.3
Method of ascertaining cause of death .................................................................................................. 20
4.4
Main groups of the underlying causes of death ..................................................................................... 21
4.5
Natural and non-natural causes of death ............................................................................................... 23
4.6
Major groups of causes of death as per Global Burden of Disease ...................................................... 26
4.7
Broad groups of natural causes of death ............................................................................................... 29
4.7.1
Overall pattern of the leading underlying natural causes of death ......................................................... 29
4.7.2
Leading underlying natural causes of death by sex ............................................................................... 30
4.7.3
Leading underlying natural causes of death by age .............................................................................. 33
4.7.4
Leading underlying natural causes of death for children aged below five years by age groups ........... 35
4.7.5
Leading underlying natural causes of death for the population aged 15–24 years ............................... 37
4.7.6
Leading underlying natural causes of death by province of death occurrence ...................................... 37
4.7.7
Underlying causes of death by district/metropolitan municipality of death occurrence ......................... 40
4.7.8
Underlying natural causes of death by population group ....................................................................... 41
4.8
Non-natural causes of death .................................................................................................................. 41
4.8.1
Non-natural causes of death by age and sex ........................................................................................ 42
4.8.2
Non-natural causes of death by province of death occurrence ............................................................. 45
4.8.3
Non-natural causes of death by district municipalities ........................................................................... 45
4.9
Comparison between immediate, contributing and underlying causes of death ................................... 47
5.
Summary and concluding remarks .................................................................................................... 49
6.
References ............................................................................................................................................ 51
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Appendices
........................................................................................................................................................ 53
Appendix A:
Definitions ....................................................................................................................................... 53
Appendix B:
Death notification form (BI-1663) ................................................................................................... 54
Appendix B1:
Death notification form (DHA-1663A) ............................................................................................. 56
Appendix B2:
Death notification form (DHA-1663B) ............................................................................................. 59
Appendix C:
Assessment of the quality of data .................................................................................................. 60
Appendix D:
Number of deaths by age, sex and year of death, 1997–1999 ...................................................... 68
Appendix D1:
Number of deaths by age, sex and year of death, 2000–2002 ...................................................... 69
Appendix D2:
Number of deaths by age, sex and year of death, 2003–2005 ...................................................... 70
Appendix D3:
Number of deaths by age, sex and year of death, 2006–2008 ...................................................... 71
Appendix D4:
Number of deaths by age, sex and year of death, 2009–2011 ...................................................... 72
Appendix D5:
Number of deaths by age, sex and year of death, 2012−2014 ...................................................... 73
Appendix E:
Year-to-year percentage changes in number of deaths by sex, 1997–2014 ................................. 74
Appendix F:
Age-specific death rates (ASDR) by year of death, 2010–2014 .................................................... 75
Appendix G:
Sex ratios at death by year of death, 1997–2014 .......................................................................... 76
Appendix H:
Number of deaths by province of death occurrence and province of usual residence of the deceased, 2014 .................................................................................................................... 77
Appendix H1:
Percentage distribution of deaths by province of death occurrence and province of usual residence of the deceased, 2014......................................................................................... 77
Appendix I:
Number of deaths by age, province and district municipality of death occurrence, 2014 .............. 78
Appendix I1:
Percentage distribution of deaths by age, province and district municipality of death occurrence, 2014 ............................................................................................................................ 80
Appendix J:
Number of deaths by sex, province and district municipality of death occurrence, 2014 .............. 82
Appendix K:
All underlying causes of death, 2014 ............................................................................................. 84
Appendix L:
Detailed description of the broad groups of natural causes of death which were among the ten leading causes in 2014 ............................................................................................................. 88
Appendix M:
The ten leading underlying natural causes of death by age and sex: South Africa, 2014 ............. 91
Appendix M1:
The ten leading underlying natural causes of death by age and sex: Western Cape, 2014 .......... 93
Appendix M2:
The ten leading underlying natural causes of death by age and sex: Eastern Cape, 2014........... 95
Appendix M3:
The ten leading underlying natural causes of death by age and sex: Northern Cape, 2014 ......... 97
Appendix M4:
The ten leading underlying natural causes of death by age and sex: Free State, 2014 ................ 99
Appendix M5:
The ten leading underlying natural causes of death by age and sex: KwaZulu-Natal, 2014 ....... 101
Appendix M6:
The ten leading underlying natural causes of death by age and sex: North West, 2014 ............. 103
Appendix M7:
The ten leading underlying natural causes of death by age and sex: Gauteng, 2014 ................. 105
Appendix M8:
The ten leading underlying natural causes of death by age and sex: Mpumalanga, 2014 .......... 107 Mortality and causes of death in South Africa, 2014: Findings from death notification
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Appendix M9:
The ten leading underlying natural causes of death by age and sex: Limpopo, 2014 ................. 109
Appendix N:
Number of deaths by main groups of causes of death and district municipality of death occurrence (Western Cape, Eastern Cape and Northern Cape), 2014 ......................... 111
Appendix N1:
Number of deaths by main groups of causes of death and district municipality of death occurrence (Free State, KwaZulu-Natal and North West), 2014 ................................... 112
Appendix N2:
Number of deaths by main groups of causes of death and district municipality of death occurrence (Gauteng, Mpumalanga and Limpopo), 2014 ............................................. 113
Appendix O:
Percentage distribution of deaths by main groups of causes of death and district municipality of death occurrence (Western Cape, Eastern Cape and Northern Cape), 2014 ........................ 114
Appendix O1:
Percentage distribution of deaths by main groups of causes of death and district municipality of death occurrence (Free State, KwaZulu-Natal and North West), 2014 ................................... 115
Appendix O2:
Percentage distribution of deaths by main groups of causes of death and district municipality of death occurrence (Gauteng, Mpumalanga and Limpopo), 2014 ............................................. 116
Appendix P:
The ten leading underlying natural causes of death by district municipality of death occurrence, Western Cape, 2014................................................................................... 117
Appendix P1:
The ten leading underlying natural causes of death by district municipality of death occurrence, Eastern Cape, 2014 .................................................................................................. 118
Appendix P2:
The ten leading underlying natural causes of death by district municipality of death occurrence, Northern Cape, 2014 ................................................................................................ 120
Appendix P3:
The ten leading underlying natural causes of death by district municipality of death occurrence, Free State, 2014 ....................................................................................................... 121
Appendix P4:
The ten leading underlying natural causes of death by district municipality of death occurrence, KwaZulu-Natal, 2014 ................................................................................................ 122
Appendix P5:
The ten leading underlying natural causes of death by district municipality of death occurrence, North West, 2014 ...................................................................................................... 124
Appendix P6:
The ten leading underlying natural causes of death by district municipality of death occurrence, Gauteng, 2014 .......................................................................................................... 125
Appendix P7:
The ten leading underlying natural causes of death by district municipality of death occurrence, Mpumalanga, 2014 ................................................................................................... 126
Appendix P8:
The ten leading underlying natural causes of death by district municipality of death occurrence, Limpopo, 2014 .......................................................................................................... 127
Appendix Q:
Population group differences ........................................................................................................ 128
Appendix Q1:
The ten leading underlying natural causes of death by population group, 2014.......................... 129
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List of tables Table 3.1:
Number and percentage distribution of deaths by age, 2014 ................................................................... 8
Table 3.2:
Number and percentage distribution of deaths by population group, 2014 ............................................ 14
Table 3.3:
Number and percentage distribution of deaths by marital status, 2014.................................................. 14
Table 3.4:
Number and percentage distribution of deaths by smoking status among those aged 16 years and older, 2014 ....................................................................................................................................... 15
Table 3.5:
Number and percentage distribution of deaths by place or institution of death occurrence, 2014 ......... 15
Table 3.6:
Number and percentage distribution of deaths by province of death occurrence and province of usual residence of the deceased, 2014 .................................................................................................. 17
Table 4.1:
Number and percentage distribution of death notification forms by the number of causes entered on the notification form, 2014..................................................................................................... 20
Table 4.2:
Number and percentage distribution of deaths by method used to ascertain the cause of death, 2014 ........................................................................................................................................................ 21
Table 4.3:
Number and percentage distribution of deaths by main groups of causes of death, 2014..................... 22
Table 4.4:
Number of natural and non-natural deaths by year of death, 1997–2014 .............................................. 24
Table 4.5:
The ten leading underlying natural causes of death, 2012–2014 ........................................................... 30
Table 4.6:
The ten leading underlying natural causes of death for males and females, 2014 ................................ 31
Table 4.7:
The ten leading underlying natural causes of death for broad age groups, 2014 .................................. 34
Table 4.8:
The ten leading underlying natural causes of death for infants and children aged below five years, 2014.............................................................................................................................................. 36
Table 4.9:
The ten leading underlying natural causes of death for the population aged 15–24 years, 2014 .......... 37
Table 4.10: The ten leading underlying natural causes of death in each province of death occurrence, 2014 ......... 39 Table 4.11: Distribution of non-natural causes of death by broad groups, 2014 ....................................................... 42 Table 4.12: Distribution of deaths due to other external causes of accidental injury, 2014 ....................................... 42 Table 4.13: Underlying non-natural causes of death by age group and sex, 2014 ................................................... 44 Table 4.14: Underlying non-natural causes of death by province, 2014 .................................................................. 476 Table 4.15: Distribution of the 20 most commonly reported causes of death, 2014 .................................................. 47 Table 4.16: Number and percentage of deaths selected as underlying or reported as immediate or contributing causes of death, 2014 ......................................................................................................... 48
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List of figures Figure 3.1: Number of registered deaths by year of death, 1997–2014 .................................................................... 7 Figure 3.2: Percentage distribution of deaths by age and year of death, 2010–2014 ............................................... 9 Figure 3.3: Percentage distribution of deaths by sex and year of death, 1997–2014 .............................................. 10 Figure 3.4: Percentage distribution of deaths by age and sex, 2014 ....................................................................... 11 Figure 3.5: Median ages at death by sex and year of death, 1997–2014 ................................................................ 12 Figure 3.6: Sex ratio at death by age and year of death, 2010–2014 ...................................................................... 13 Figure 4.1: Percentage distribution of deaths by selected main groups of causes of death, 2012–2014................ 23 Figure 4.2: Percentage distribution of natural and non-natural causes of death by year of death, 1997–2014 ............................................................................................................................................. 25 Figure 4.3: Percentage distribution of natural and non-natural causes of death by age, 2014 ............................... 26 Figure 4.4: Percentage of deaths due to communicable diseases (Group I), non-communicable diseases (Group II) and injuries (Group III) by year of death, 1997–2014 ............................................................ 27 Figure 4.5: Percentage distribution of deaths due to communicable diseases (Group I), noncommunicable diseases (Group II) and injuries (Group III) by sex and age group, 2014 ..................... 28 Figure 4.6: Percentage distribution of deaths for the leading causes of death by year of death and sex, 2012–2014 ............................................................................................................................................. 32
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1. Introduction 1.1 Background The statistics on mortality and causes of death collected through the civil registration system provide a snapshot of the current health problems; suggest persistent patterns of risk in specific subgroups; and show trends in specific causes of death over time (World Health Organization [WHO], 2013). As such, the statistics on mortality and causes of death are essential public health goods that provide evidence required to monitor and evaluate progress towards population health administration (United Nations [UN], 2014) and can contribute to the implementation of the National Public Health Institute of South Africa Bill introduced on 11 November 2015. One of the functions of the Bill is to use public health information in assessing the population health status and in formulating health plans, policies and priorities (Republic of South Africa, 2015). Anchoring civil registration ensures the continuity, consistency, correctness, timeliness and comprehensiveness of the civil registration and vital statistics system (WHO, 2014a). The registration of deaths in South Africa falls under the mandate of the Department of Home Affairs (DHA) and is governed by the Births and Deaths Registration Act, 1992 (Act No. 51 of 1992), which was last amended in 2010 as the Births and Deaths Registration Amendment Act (Act No. 18 of 2010) (Republic of South Africa, 1992; Republic of South Africa, 2010). The principal Act No. 51 of 1992 stipulates that death notices should be given as soon as practicable. However, to better enforce the functioning of the civil registration system, the 2014 regulations of the Act mandate the registration of all deaths within 72 hours of death occurrence (Republic of South Africa, 2014). Upon completion of death registration, a death certificate is issued to the informant based on information from the death notification form. All death notification forms are then collected from DHA by Statistics South Africa (Stats SA) fortnightly for capturing, processing, assessment and analysis of data. Information on mortality and causes of death is then disseminated in the form of statistical releases and datasets. Stats SA, in partnership with DHA, Department of Health (DoH) and other stakeholders is currently preparing a report on the strengths and weaknesses of the civil registration system based on a comprehensive assessment of civil registration and vital statistics, including causes of death undertaken in 2014. Sustained partnerships between registration and statistical production departments are essential for improvements in mortality statistics to be realised. Currently, efforts are in place for integrated coordination mechanisms in timely registration of death, complete death registration coverage, medically certified causes of death, and timely publication of information on mortality and causes of death. While the DHA envisions a death register that is complete (Republic of South Africa, 1992), the need of DoH primarily revolves around providing adequate health services to the population (Department of Health, 2014). The interest of Stats SA is to strengthen the provision of reliable information on the number of people who die and the causes of their deaths on a continuous basis, using best statistical practices.
1.2 Objectives of this statistical release This statistical release is an annual publication by Stats SA on mortality and causes of death using data collected through the civil registration system. The objectives of the publication are as follows: • To present statistics on registered deaths by selected socio-demographic and geographic characteristics for deaths that occurred in 2014; and trends in mortality over a 18-year period (1997−2014); and • To provide information on causes of death for deaths that occurred in 2014 based mainly on the underlying causes of death.
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1.3 Scope of this statistical release This statistical release covers all deaths based on death notification forms from DHA for deaths that occurred in 2014 or earlier and reached Stats SA in time for the 2014/2015 processing phase. Although the main focus is on deaths that occurred in 2014, deaths that occurred from 1997 to 2013 (updated for late registrations or delayed transfer of forms) are also provided to show trends in mortality and causes of death. The number of deaths discussed in this statistical release excludes stillbirths, which are also collected through the civil registration system but are, however, published separately in the annual Stats SA statistical release on Perinatal deaths in South Africa (P0309.4). The definitions of technical terms used in this release are provided in Appendix A (see page 53).
1.4 Organisation and presentation of this statistical release The remainder of this statistical release is organised as follows: Section two of the release is the data and methods section and provides a description of the data sources, methods used in data processing, editing and analysis. It also has a subsection discussing data quality assessments methods. The third section on mortality presents levels, trends and differentials in mortality by selected socio-demographic and geographic characteristics of the deceased. Section four of the release provides information on the underlying causes of death for all deaths that occurred and that were registered in 2014. Deaths for the years 1997 to 2013 have also been included to show patterns in mortality over the years. It also covers the analysis of natural versus non-natural causes, the global burden of disease as well as comparisons between immediate, contributing and underlying causes of death. The last section provides the summary of findings and concluding remarks.
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2. Data and methods In this section, focus is placed on the sources of data, the data processing and data editing methodologies as well as data analysis methods applied. This section also provides information on the data quality assessments undertaken.
2.1 Data source This statistical release is based on administrative records from death notification forms collected from the Department of Home Affairs (DHA). There are two death notification forms currently being used by the DHA in registering deaths: Form BI-1663 (see Appendix B on pages 54−55) and DHA-1663 (see Appendix B1 on pages 56−58). Form BI-1663 is being replaced by form DHA-1663 but continues to be used in areas where it is still in stock. The data elements in these two forms are largely comparable. However, the two forms differ mainly in the perinatal section, with the DHA-1663 form having a separate section for recording causes of death for perinatal deaths whereas BI-1663 collects causes of death for all deaths in one section irrespective of age. The completed death notification forms are obtained by Statistics South Africa (Stats SA) for data processing and analysis of statistics on mortality and causes of death. In this release, deaths that occurred in 2014 and that were registered at DHA and collected by Stats SA during the 2014/2015 data processing phase are presented, as well as trends in mortality over a 18-year period (1997−2014). A total of 453 360 deaths that occurred in 2014 were registered at the DHA and reached Stats SA in time for the 2014/2015 data processing phase. For 2014 deaths, 91,4% of the data were from the DHA-1663 form while 8,6% was from the BI-1663 form. These results indicate a decrease of 5,1 percentage points in BI-1663 forms used from 13,7% for 2013 deaths. BI-1663 forms continue to decrease annually. The Births and Deaths Registration Act (Act No. 51 of 1992) states that in the case of a death due to natural causes, a medical practitioner shall complete a prescribed death notification form and certify the cause of death. The medical practitioner is obliged to inform a police officer if he/she is of the opinion that the death may not be due to natural causes. On receipt of this information, it is the duty of the police officer to act in terms of the Inquest Act, 1959 (Act No. 58 of 1959) and investigate the circumstances of the death (Republic of South Africa, 1959). It is after the investigation that a forensic pathologist shall complete the death notification form and prescribe the cause of death. Although all deaths require that a medical practitioner certify the deaths, in instances where a death occurs in remote areas where there is no medical practitioner within reasonable distance to certify the cause of death, a chief or tribal leader completes DHA-1680 to certify the occurrence of the death and to provide a description of the circumstances that led to and caused the death. The form used is then lodged with the nearest home affairs office for registration purposes.
2.2 Data processing All completed death notification forms are collected from the DHA head office for data processing at the Stats SA Data Processing Centre. There are different stages involved in processing the death notification forms. The forms are sorted by year of death, and labels of unique identifiers are pasted on each form. The socio-demographic variables on the form are then coded, e.g. males = 1, and females = 2.
2.2.1 Classification of the causes of death In this statistical release, the causes of death were coded using the tenth revision of the International Classification of Diseases (ICD) (WHO, 1992). All member states of the United Nations (UN), including South Africa, agreed to use the ICD standard classification system. The International Classification of Diseases (ICD) is revised from time to time to incorporate changes in medical knowledge and currently, the tenth revision is under review. The ICD-10 is a standard classification system developed by the WHO to promote international comparability in the collection, processing, coding, classification and presentation of mortality statistics (WHO, 2009a). The ICD-10 provides a standardised approach to monitoring and evaluating the prevalence of health problems in a consistent manner. The classification system facilitates the storage, retrieval, analysis and interpretation of data and their comparison within population and between populations over time. The quality of the causes of death data depends heavily on the completeness and quality in which the death notification form was completed and on the accuracy of coding the causes of death. The ICD-10 provides for Mortality and causes of death in South Africa, 2014: Findings from death notification
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completing the death notification form and for coding and classification of diseases, injuries and a wide range of signs, symptoms and other abnormal findings. It also provides a framework for certifying the causes of death; recommends names and definitions for disease entities and provides regulations on the use of the classification system and other guidelines on collecting internationally standardised mortality statistics. The ICD-10 contains approximately 8 000 categories of causes of death. It provides information on assigning causes of death and coding in terms of disease, injury and a wide variety of symptoms and other abnormal findings. It is organised into chapters covering communicable diseases, other diseases that may affect the whole body, localised diseases by site, developmental diseases, injuries and external causes. ICD-10 coders at Stats SA follow a ‘what you see, is what you code’ principle when coding information on causes of death provided by certifying officials. These coders use the ICD-10 for categories of causes of death coded in the ICD-10 manual. For diseases that are not coded in the ICD-10 manuals, Stats SA has outlined specific procedures and guidelines. For example, certifying officials sometimes report the cause of death as acquired immune suppression which is not coded in the ICD-10 manual. According to Stats SA coding procedures, this term is interpreted as HIV disease and given HIV code (B20-B24). In terms of the Stats SA coding procedures and guidelines, immunosuppression is coded as immunodeficiency, not as human immunodeficiency virus (HIV) disease. Codes U51 (multidrug-resistant tuberculosis [MDR-TB]) and U52 (extensively drug-resistant tuberculosis [XDR-TB]) which are specific to South Africa are included in the tuberculosis (A15-A19) broad group of causes of death prescribed by the ICD-10 manual. The processing of the 2014 data on causes of death used four-character coding where sufficient details were provided. However, analysis on this statistical release is based on threecharacter categories for underlying causes.
2.2.2 Automated generation of the underlying causes of death Under international rules for selecting the underlying cause from the reported conditions, every death is attributed to one (and only one) underlying cause. The ICD-10 defines the underlying cause of death as the disease or injury that initiated the train of events leading directly to death or the circumstances of the accident or violence that produced the fatal injury (WHO, 2009: 1195). Stats SA uses a software program called Automated Classification of Medical Entities (ACME 2011) to automatically derive the underlying cause of death once the causes of death given on the death notification forms have been coded. This software was developed by the United States National Center for Health Statistics (NCHS) and applies the WHO rules on the selection of the underlying cause of death. An additional software, namely IRIS, which also automatically derives the underlying cause is used for comparison with results from ACME. Both ACME and IRIS derived the same underlying cause for 95,2% of the death notification forms. The results from one program were used where the other failed to derive the underlying cause. Where both programs failed to derive the underlying cause of death, experienced coders derived the underlying cause of death.
2.3 Data editing The SAS data editing program has been developed by Stats SA. The program uses mortality and causes of death data editing business rules to check for data accuracy, consistency and quality. Once data processing had been completed, the SAS program was used to identify and correct inconsistences in the data. The quality of the mortality statistics was further assessed using two electronic tools – version 2.0 of the “Analysing mortality levels and causes-of-death” (ANACoD) and version 1.0 CoDEdit – both developed by the WHO. The tools were developed to enhance the value of mortality statistics in informing health policies and programmes. Both tools automatically checked the accuracy of data in terms of consistency and plausibility by highlighting cases with causes that were unlikely to cause death, by specific ages and by sex, providing a summary of the record within the dataset and alerting about possible misuse of codes (WHO, 2014a; WHO, 2014b). The advantage of using CoDEdit was that it provided unit record analysis, unlike ANACoD, which checked for validity at an aggregate level. Records with errors were manually investigated, which involved validating the cases against the original death notification form for verification, after which corrections were made where necessary. ANACoD was used as it provides additional information not available on CoDEdit, for example, crude death rates and life expectancy at death, amongst others.
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2.4 Assessment of the quality of data The gold standard in mortality and causes of deaths data is to have all deaths registered, medically certified, coded using the International Classification of Diseases (ICD-10) and, ultimately, the data have to be timely in terms of collection, analysis and dissemination (WHO, 2013). An accurate, complete and timely civil registration system provides the foundation for the production of reliable and routine vital statistics. These statistics are essential as they permit evaluation of the current and past state of the health status of the population and this enables proper development and planning. However, the data need to be checked for quality as mortality and causes of death data can suffer from a range of deficiencies. The quality of death registration data can be affected by the extent of late registrations, timeliness of death registration; completeness of information recorded; ill-defined causes of death, and underreporting of causes – especially in the case of HIV/AIDS. Public health programmes and researchers who rely on this data need to be aware of the level of data quality for statistical reliability. They should be informed of the results of evaluations of the data in order to provide them with a good understanding of strengths and weaknesses of the data. To assess the quality of death registration, for the purpose of this release in addition to the ANACoD and CoDEdit electronic tools, the framework proposed by Mahapatra et al. (2007) was also used to assess the quality of the 2014 deaths and cause of death statistics. This section presents a summary of the results of this assessment. A detailed discussion of the assessment is provided in Appendix C. In the 2011 statistical release (Stats SA, 2014), an estimated 94% completeness of adult (15 years and older) death registration was reported for the 2007−2011 intercensal period using the 2007 Community Survey and the 2011 Census. For 2014 adult death registrations, the same estimate is maintained, and a revised estimate will be provided after the 2016 Community Survey. Data processing, data analysis and publication of the 2014 statistical release on mortality and causes of death took 11 months from the end of the 2014 year of reporting. Less than 2% of 2014 registered deaths had missing or unknown information on age of deceased, sex of deceased and province of death occurrence. The results further indicated that variables such as population group, province of birth, marital status, method used to ascertain cause of death, smoking status and education, continue to have high percentages of incomplete information ranging between 12,7% for population group and 48,5% for education. Variables with over 50% missing information included occupation, industry and pregnancy status. Of the deaths that occurred in 2014, the proportion of deaths that were registered within the 72 hours (3 days) stipulated by the Regulations legislative framework was 78,4%. The proportion of deaths assigned to the ill-defined group was 12,5% – down from 12,7% in 2013.
2.5 Data analysis The analysis is descriptive and is based on frequency distributions and cross-tabulations on mortality and causes of death. The first section on mortality presents information on selected socio-demographic variables and mortality patterns. The section also covers levels, trends and differentials in mortality (age, sex, population group, marital status, smoking status, province, and district municipalities). The second section on causes of death was computed by ranking the underlying causes of death and providing the proportions of deaths due to specific causes. The top-ranking causes determine the leading causes of death. The ranking basically indicates the frequency of causes of death among those causes eligible to be ranked, and does not reflect the causes of death in terms of their importance from a public health perspective. Ranking the underlying causes of death is useful for showing the relative burden of cause-specific mortality. Causes of death that had the same number of deaths received the same rank, and a rank was skipped for the next cause. For example, if two causes of death had the same frequency and were the top-ranked causes, they both received rank one, and the next cause received rank three. In ranking natural underlying causes of death, symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), were excluded as the information is not sufficiently detailed to be of use for public health purposes. It is therefore essential through training programmes and other initiatives to raise awareness among certifying practitioners to seek sufficient evidence to assign cause of death to these deaths. A separate Mortality and causes of death in South Africa, 2014: Findings from death notification
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analysis on non-natural causes has been provided since from a public health perspective, it is important to report on non-natural causes of death such as violence and accidents. However, no ranking was done for non-natural causes of death. Information on causes of death is also provided, based on the global burden of disease study that disaggregates the causes of deaths into three broad groups, namely Group I (communicable diseases), Group II (non-communicable diseases) and Group III (injuries) with the symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) deaths proportionately distributed into the communicable and non-communicable diseases categories. This release also presents tables on mortality and causes of death for district municipalities in the country in the appendices section. Information on local municipalities is not included in this release, but Stats SA can provide it to users on request. The boundaries for local municipalities, district municipalities and provinces are based on the 2011 municipal demarcations.
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3. Mortality This section reports on death occurrences for 2014 and earlier that were registered and collated through the Department of Home Affairs (DHA) and that reached Statistics South Africa (Stats SA) during the 2014/2015 processing phase. The section primarily presents the distribution of 2014 death occurrences by selected sociodemographic characteristics of the deceased such as age, sex, place or institution of death, and geographic information (province and district municipalities). Death occurrences from 1997 to 2013 are included to show trends and patterns of registered deaths.
3.1 Levels and trends of mortality The number of registered deaths processed by Stats SA for the period 1997−2014 is shown in Figure 3.1. The figure shows that the number of registered deaths increased yearly from a low of 317 727 deaths in 1997 and reached a peak of 614 014 deaths in 2006. The results further show that from 2007, a consistent downward trend was observed from 605 949 deaths to 453 360 deaths in 2014. The number of deaths processed for 2014 indicates a decrease of 4,2% from a total of 473 384 deaths that occurred in 2013. These results indicate that the level of mortality is declining in the country. However, the overall number of deaths per year is expected to increase as figures are updated with late registrations or delayed death notification forms. Updated information will be provided in the next statistical release. Figure 3.1: Number of registered deaths by year of death, 1997–2014* 700 000
600 000
Number of deaths
500 000
400 000
300 000
200 000
100 000
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
Stats SA 317 727 366 477 382 530 417 042 456 054 503 160 558 258 578 217 599 267 614 014 605 949 597 781 582 956 550 401 514 938 492 062 473 384 453 360
Year of death *Data for 1997–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015.
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3.2 Age differentials Table 3.1 shows the number and percentage distribution of deaths by age for deaths that occurred in 2014. The results show that the age group with the highest proportion of deaths was age group 60–64 years (7,4%), closely followed by age group 35–39 years, which accounted for 7,0% of all deaths. Age groups 40–44, 50–54, 55–59 and 70–74 years each represented about 6,9% of all deaths. The lowest percentages were amongst those aged 5–9 years and 10–14 years (each comprising 0,7% of all deaths). About 5,7% of all registered deaths in 2014 occurred amongst infants (age 0 years). Table 3.1: Number and percentage distribution of deaths by age, 2014 Age group
Number
Percentage
25 643
5,7
1−4
8 619
2,0
5−9
3 143
0,7
10−14
3 092
0,7
15−19
7 002
1,5
20−24
13 967
3,2
25−29
23 101
5,5
30−34
29 819
6,7
35−39
29 818
7,0
40−44
29 966
6,9
45−49
29 077
6,6
50−54
31 425
6,9
55−59
32 017
6,9
60−64
34 855
7,4
65−69
31 721
6,5
70−74
31 316
6,9
75−79
28 053
6,0
80−84
25 576
5,6
85−89
18 546
3,8
90+
15 435
3,2
1 169
0,4
453 360
100,0
0
Unspecified Total
Figure 3.2 shows the percentage distribution of deaths by age and year of death for the past five years (2010 to 2014). Absolute numbers showing the distribution of deaths by age, sex and year of death from 1997 to 2014 are provided in Appendices D (1997−1999), D.1 (2000−2002), D.2 (2003−2005), D.3 (2006−2008), D.4 (2009−2011) and D.5 (2012−2014) [see pages 68−73]. A general pattern observed in Figure 3.2 is that the age pattern of mortality was uniform over the five years. Furthermore, the proportion of deaths decreased consistently among middle age groups (from age group 25−29 years up to 35−39 years) and age group 45−49 years over the five-year period, and increased consistently for older age groups (from age group 60−64 years up to age group 85−89 years), except age group 70–74 years, which did not change between 2013 and 2014. For all the years, the lowest proportion of deaths occurred in age groups 5−9 years and 10−14 years. While the proportion of deaths was highest in age group 35−39 years between 2010 and 2012, it shifted to age group 60−64 years in 2013 and 2014.
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5,6
5,5
5,6
5,7
2011
2012
2013
2014
1,9
2,0
2,2
2,0
1-4 2,4
0,7
0,7
1,0
0,9
5-9 0,9
0,7
0,7
0,8
0,8
10-14 0,8
1,5
1,6
1,5
1,5
15-19 1,5
3,1
3,3
3,3
3,4
20-24 3,7
5,1
5,5
5,9
6,1
25-29 6,6
6,6
6,7
7,0
7,3
30-34 8,0
6,6
7,0
7,5
7,8
6,6
6,9
6,9
7,1
40-44 7,5
Age group
35-39 8,2
6,4
6,6
6,7
7,0
45-49 7,2
*(1) Excluding deaths with unspecified age. (2) Data for 2010–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015.
0 6,3
2010
0,0
2,0
4,0
6,0
8,0
10,0
12,0
Figure 3.2: Percentage distribution of deaths by age and year of death, 2010–2014*
Statistics South Africa
Percentage
7,1
7,0
6,8
6,8
55-59 6,4
7,7
7,4
7,1
6,9
60-64 6,4
7,0
6,5
6,3
6,1
65-69 5,8
6,9
6,9
6,6
6,5
70-74 5,9
6,2
6,0
5,8
5,5
75-79 5,1
5,7
5,6
5,4
5,2
80-84 4,8
4,1
3,8
3,5
3,4
85-89 3,0
3,4
3,2
3,1
3,1
90+ 2,7
Mortality and causes of death in South Africa, 2014: Findings from death notification
6,9
6,9
6,9
6,9
50-54 6,8
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3.3 Sex differentials The distribution of deaths by sex and year of death from 1997 to 2014 is shown in Figure 3.3. The figure shows that in general, while there were more male deaths than female deaths over the 18-year period (1997–2014), the gap between male and female deaths generally narrowed down over time up to 2005, after which it gradually widened again in the recent years. Two distinct patterns can be observed from the figure: i)
The first pattern shows declining proportion of male deaths between 1997 and 2005 while that of female deaths increased in the same period. The pattern shows that the percentage of male deaths was highest in 1997 (55,9%) and persistently declined to a low of 50,4% in 2005. During the same period, female deaths increased yearly from 44,1% in 1997 to a high of 49,6% in 2005. ii) The second pattern observed shows increasing proportion of male deaths from 2006 to 2014 coupled with a decline in the proportion of female deaths from 2006 to 2014. The pattern shows a reversal of the first pattern from 2006 for both males and females. The proportion of male deaths increased from 50,7% in 2006 to 52,4% in 2014, while female deaths took a downward trend from 49,3% in 2006 and reached 47,6% in 2014.
Figure 3.3: Percentage distribution of deaths by sex and year of death, 1997–2014* 60,0
Percentage
55,0
50,0
45,0
40,0
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
Male
55,9
55,0
54,2
52,8
52,2
51,4
51,1
50,7
50,4
50,7
51,0
51,2
51,5
51,5
51,8
52,3
52,4
52,4
Female
44,1
45,0
45,8
47,2
47,8
48,6
48,9
49,3
49,6
49,3
49,0
48,8
48,5
48,5
48,2
47,7
47,6
47,6
Year of death *(1) Excluding deaths with unspecified sex. *(2) Data for 1997–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015.
Appendix E (see page 74) presents the annual percentage changes in the number of deaths by sex from 1997–1998 to 2013–2014. Both males and females recorded their highest annual percentage increases in the number of deaths for 1997–1998 and their highest decreases between 2010 and 2011. It is shown that both male and female deaths increased between the years 1997–1998 and 2005–2006 with female deaths increasing at a higher rate from 1997–1998 to 2004–2005, whereas male deaths increased more between 2005 and 2006. Female deaths went on to decline at a higher rate than male deaths from 2006–2007 to 2012–2013. The annual percentage decreases in the number of deaths between 2013 and 2014 were equivalent for males and females. Age-specific Death Rates (ASDRs) for the total population for the period 2010–2014 are shown in Appendix F (see page 75) to provide an indication of the age pattern of mortality over the five-year period, accounting for the population size at each age. The ASDRs provided should be interpreted with caution as they are based on observed Mortality and causes of death in South Africa, 2014: Findings from death notification
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numbers of deaths that have not been adjusted for incomplete registration and which may vary with age. Overall, the age pattern of mortality was uniform over the five year period, characterised by rates higher for infants amongst children. Lower rates were observed for age groups 5–9 and 10–14 years. For all the years, the death rates decreased from age 0 to age 1–4 years, after which they were somewhat similar and low from age groups 5–9 to 14–19 years, and thereafter increased continuously from age group 20–24 years, reaching their highest levels at ages 80 years and older compared to younger age groups.
3.4 Age and sex differentials 3.4.1 Distribution of deaths by age and sex Figure 3.4 shows the age and sex percentage distribution for 2014 registered deaths (absolute numbers are presented in Appendix D.5 [see page 73]). The results show that the proportions of death were lowest and characterised by minimal differences from ages 1–4 years to age group 10–14 years for both males and females. On the one hand, the percentages of male deaths exceeded the percentages of female deaths from age 0 up to age group 65–69 years. On the other hand, the proportions of female deaths were higher than the proportions of male deaths for ages 70 years and above. Further, age and sex differentials show that in 2014, the highest percentage of male deaths occurred amongst those in the age group 60–64 years (8,5%), followed by age groups 55–59 and 50–54 years (7,9% and 7,8%, respectively). Female deaths peaked at age group 80–84 years (7,6%), followed by age group 70–74 years (7,4%) and then age groups 75–79 years (7,3%). As had been the case with 2013 data, in 2014, both males and females followed the same pattern for ages 50–64 years, contributing higher percentages to the total number male deaths, and female deaths peaking from ages 70 to 84 years. Figure 3.4: Percentage distribution of deaths by age and sex, 2014* 9,0 8,0 7,0
Percentage
6,0 5,0 4,0 3,0 2,0 1,0 0,0
0
1-4
5-9
10-14
15-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
80-84
85-89
90+
Male
5,7
1,9
0,8
0,7
1,7
3,4
5,3
7,0
7,2
7,5
7,2
7,8
7,9
8,5
7,4
6,5
5,2
3,9
2,6
1,7
Female
5,4
1,8
0,6
0,6
1,4
2,8
4,9
6,2
5,9
5,7
5,6
6,0
6,2
6,9
6,7
7,4
7,3
7,6
5,8
5,3
Age group *Excluding deaths with unspecified age and sex.
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3.4.2 Median ages at death by sex The median age at death refers to the age at which exactly half of the deceased are younger than this age and half are older. In essence, it specifies how early or late mortality occurs in a population. Trends in median ages at death are important in the analysis of changes in mortality patterns over time, such as an increase in the proportion of deaths occurring at older ages or a decline in the proportion of deaths occurring at younger ages. Figure 3.5 shows the median ages at death by sex and year of death for deaths that occurred between the years 1997 and 2014. The results for male and female deaths as well as total deaths show that the median ages at death persistently decreased yearly from 1997 and reached their lowest level in 2004. From 2005, the median ages increased for all the years and were highest in 2014. The median ages at death for total deaths decreased from 51,3 years in 1997 to 42,6 years in 2004, while an upward trend was observed between 2005 and 2014 from 42,8 years in 2005 to 53,9 years in 2014, reflecting improvement in mortality. Sex differentials by median ages at death show three distinct patterns. The first pattern is observed between 1997 and 2002, where males died at younger ages compared to females, with the gap narrowing over time. The second pattern was between 2003 and 2006, which is characterised by female deaths occurring at younger ages compared to male deaths, which were occurring at slightly older ages. The third pattern observed is from 2009 to 2014, where males died at younger ages than females as observed in the first pattern but with the gap widening over time. In 2014, the median age at death for females was 58,1 years, which was higher than the 51,1 years for males. Figure 3.5: Median ages at death by sex and year of death, 1997–2014* 60,0
Age at death (years)
55,0
50,0
45,0
40,0
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
Males
48,3
47,4
46,3
45,7
45,3
44,3
44,1
43,4
43,5
43,9
44,4
44,8
46,3
47,1
48,9
49,4
50,2
51,1
Females
56,5
54,4
50,5
48,4
46,7
44,1
43,0
41,7
42,1
43,1
44,2
44,9
47,7
48,9
52,4
53,8
56,0
58,1
Total
51,3
49,7
47,8
46,5
45,7
44,2
43,6
42,6
42,8
43,5
44,3
44,8
46,8
47,8
50,3
51,1
52,5
53,9
Year of death * Data for 1997–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015.
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3.4.3 Sex ratios by age Figure 3.6 presents the sex ratio at death by age and year of death for the period 2010 to 2014. The sex ratio at death is defined as the relative number of male deaths per 100 female deaths. A ratio of 100 indicates an equal number of male and female deaths, a number less than 100 is indicative of more female deaths, and a number above 100 indicates relatively more male deaths than female deaths. The results show that from 2010 to 2014 there were more male deaths (sex ratios over 100) from age 0 years up to age group 15–19 years and from age group 30–34 years to age group 65–69 years. For the age groups 20–24 years and 25–29 years, female deaths exceeded male deaths (sex ratios less than 100) over the years 2010 to 2011. This pattern reversed from 2012 to 2014, where more male deaths were observed for these age groups as compared to female deaths. This indicates improvements in female mortality in these ages. Female deaths consistently exceeded male deaths throughout the five-year period (2010 to 2014) for age groups 70 years and above. The overall sex ratios for 1997 to 2014 are shown in Appendix G (see page 76). Over the 18-year period, sex ratios at death were constantly higher for males (above 100) as compared to females. However, in 1997, the overall sex ratio at death was 127 male deaths per 100 female deaths, gradually decreasing to 102 male deaths per 100 female deaths in 2005. Between 2006 and 2014, the sex ratios increased notably from 103 male deaths per 100 female deaths in 2006 to 110 male deaths per 100 female deaths in 2014. The figure further shows that the sex ratio of deaths yielded in 2014 is the same as the sex ratio for the years 2012 and 2013. Figure 3.6: Sex ratio at death by age and year of death, 2010–2014 160 140
Males per 100 females
120 100 80 60 40 20 0
0
1-4
5-9
10-14
15-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
80-84
85-89
90+
2010
114
115
121
115
111
88
85
105
121
132
140
145
146
136
118
95
73
61
55
38
2011
113
111
116
117
116
96
93
110
128
135
140
147
143
136
119
98
71
60
54
38
2012
116
113
118
118
120
108
103
113
132
141
141
145
148
140
122
99
74
60
52
39
2013
114
115
122
121
137
119
111
121
135
142
141
143
144
138
119
99
77
58
51
38
2014
116
116
132
127
133
134
118
124
136
144
141
144
141
136
122
97
78
56
50
36
Age group * (1) Excluding deaths with unspecified sex and age. (2) Data for 2010–2013 have been updated with late registrations/delayed death notification forms processed in 2014/ 2015.
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3.5 Population group differences in mortality Table 3.2 shows the distribution of deaths by population group in 2014. Black Africans accounted for 70,5% of all deaths, followed by the white population group (8,5%) and then the coloured population group (6,8%). The Indian/Asian population group accounted for 1,4% of all registered deaths. The rank order of the proportions is consistent with the previous years. Variations in population size by population groups show that 80,2% of the South African population in 2014 was black Africans followed by coloured population group at 8,8% then whites at 8,4%. However there were more white population group deaths (8,5%) compared to coloured population group deaths (6,8%) as reflected in the table. The Table also shows that 12,7% of registered deaths in 2014 had population group classified as unknown or unspecified. The proportion of deaths with missing information improved from 15,6% in 2012 to 12,7% in 2014. Although reporting on the population group variable has improved over time, analyses on population group should be treated with caution due to the high proportion of deaths with missing information on population group. Table 3.2: Number and percentage distribution of deaths by population group, 2014 Population group Black African White Indian/Asian Coloured Other Unknown or unspecified Total
Number of deaths
Percentage of deaths
Population group size
Percentage of population group
319 587
70,5
43 375 988
80,2
38 442
8,5
4 556 186
8,4
6 241
1,4
1 343 684
2,5
31 018
6,8
4 782 788
8,8
625
0,1
0
0,0
57 447
12,7
0
0,0
453 360
100,0
54 058 647
100,0
3.6 Marital status differences in mortality The distribution of deaths by marital status in 2014 is shown in Table 3.3. Nearly half (47,7%) of the deaths that occurred in 2014 were among people who were never married, and 24,3% of the deceased were reported as married at the time of death. About 10,5% of the deceased were widowed while the divorced constituted 2,0% of all registered deaths. The pattern observed in 2014 for the marital status variable is the same as that observed in 2013. The marital status of the deceased at the time of death was unknown or unspecified in 15,5% of the deaths, and therefore needs to be treated with caution. Table 3.3: Number and percentage distribution of deaths by marital status, 2014 Marital status
Number
Percentage
Never married
216 237
47,7
Married
110 002
24,3
Widowed
47 506
10,5
Divorced
9 187
2,0
70 428
15,5
453 360
100,0
Unknown or unspecified Total
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3.7 Differences in mortality by smoking status Table 3.4 shows the distribution of 2014 registered deaths by smoking status. Smoking status of the deceased refers to smoking of tobacco in the five years preceding death among those aged 16 and older at the time of death. It is observed that approximately 18,8% of the deceased were registered as smokers while 41,2% were reported as nonsmokers. The Table also shows that 34,4% of registered deaths in 2014 had smoking status classified as unknown or unspecified. The high proportion of deaths with missing information on smoking status shows poor reporting of this information on the death notification forms and should therefore be treated with caution. However, this has declined in comparison to 2012 (38,8%) and 2013 (35,6%). Table 3.4: Number and percentage distribution of deaths by smoking status among those aged 16 years and older, 2014 Smoking status
Number
Percentage
Yes
77 176
18,8
No
169 367
41,2
22 949
5,6
Unknown or unspecified
141 324
34,4
Total
410 816
100,0
Do not know
3.8 Differences in mortality by place or institution of death occurrence Table 3.5 shows the number and percentage distribution of registered deaths by place or institution of death occurrence for 2014. The results indicate that a total of about 48% of the deaths took place in a health care facility (43,9% in hospitals; 2,3% in nursing homes and 1,8% emergency room or outpatient deaths). Deaths occurring at home constituted 23,2% of all registered deaths, while 2,2% of all registered deaths were reported as dead upon arrival at a health care facility. Caution should be exercised when interpreting the results, as 23,4% of the death notification forms had unknown or unspecified information on place or institution of death of the deceased. Table 3.5: Number and percentage distribution of deaths by place or institution of death occurrence, 2014 Place of death
Number
Percentage
Hospital
199 060
43,9
Home
105 396
23,2
Nursing home
10 290
2,3
Dead on arrival
9 780
2,2
Emergency room/Out patient
8 084
1,8
14 546
3,2
Unknown or unspecified
106 204
23,4
Total
453 360
100,0
Other
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3.9 Geographic variations in mortality This subsection provides information on the distribution of deaths by province of death occurrence, province of usual residence of the deceased, and district municipalities of death occurrence for deaths that occurred in 2014. Stats SA derived the information on geography from place names, based on the 2011 municipal boundaries. The number and percentage distribution of deaths by province of death occurrence and province of usual residence of the deceased are provided in Appendices H and H1 (see page 77), respectively. Appendices I and I1 (see pages 78−81) provide the number and percentage distribution of deaths at provincial and district municipality levels by age, whereas the sex distribution is provided in Appendix J (see pages 82−83).
3.9.1 Differences by province, age and sex The distribution of deaths by province of death occurrence and province of usual residence of the deceased in 2014 is presented in Table 3.6. The distribution of deaths by province of death occurrence, shows that the highest proportion of deaths (21,3%) occurred in Gauteng, followed by KwaZulu-Natal (17,5%) and then Eastern Cape at 14,7%. The lowest proportion of deaths occurred in Northern Cape (3,1%). The order of province of usual residence of the deceased was the same as that of death occurrence, with Gauteng accounting for the highest proportion of deaths (20,4%), followed by KwaZulu-Natal (16,9%) and Eastern Cape (14,7%). Similarly, Northern Cape (3,1%) accounted for the lowest proportion with regard to deceased registered as usual residents of the province. These percentages are reflective of the population sizes of the provinces of death occurrence or usual residence. Approximately 0,2% of the deaths occurred in a foreign country and 0,3% of the deceased were usual residents in a foreign country. While province of death occurrence was unknown or unspecified in 0,3% of the registered deaths, province of usual residence of the deceased was unknown or unspecified in 1,2% of the registered deaths. Further analysis of the province of death occurrence and province of usual residence of the deceased shows that 2014 registered deaths were predominantly characterised by deaths that occurred within the province of usual residence (refer to Appendices H and H1). Over 90% of deaths occurred in the province of usual residence, with Western Cape (95,1%) having the highest proportion and Gauteng (91,0%) having the lowest proportion. As was the case in 2013, the highest proportion of people who died outside South Africa were residing in Gauteng (30,7%). It must be noted that subsequent analyses on geographic distribution of deaths is based only on place/institution of death occurrence, not place of residence or place of birth of the deceased. However, information on place of residence and place of birth of the deceased is available on request from Stats SA.
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Table 3.6: Number and percentage distribution of deaths by province of death occurrence and province of usual residence of the deceased, 2014 Province
Province of death occurrence
Province of usual residence of deceased
Number
Percentage
Number
Percentage
Western Cape
44 020
9,7
43 842
9,7
Eastern Cape
66 553
14,7
66 800
14,7
Northern Cape
14 056
3,1
14 026
3,1
Free State
33 045
7,3
32 947
7,3
KwaZulu-Natal
79 138
17,5
76 764
16,9
North West
34 933
7,7
35 793
7,9
Gauteng
96 736
21,3
92 618
20,4
Mpumalanga
35 002
7,7
35 611
7,9
Limpopo
47 849
10,6
48 221
10,6
Foreign Unspecified Total
713
0,2
1 342
0,3
1 315
0,3
5 396
1,2
453 360
100,0
453 360
100,0
The number and percentage distribution of deaths by age, province and district municipality of death occurrence for 2014 are presented in Appendices I and I1 (see pages 78−81). It is imperative to note that the distribution of deaths does not account for potential underreporting of deaths at specific ages, which may vary by district of death occurrence. In six of the nine provinces, most deaths occurred in the age group 65 years and older, while for KwaZulu-Natal and Mpumalanga most deaths occurred in the age group 15–44 years. Northern Cape is the only province where deaths occurred more in age group 45–64 years. In terms of province of death occurrence, North West (7,3%) and Northern Cape (6,9%) had the highest proportions of infant deaths (0 years). Eastern Cape had the lowest proportion of infant deaths, followed by Western Cape (3,7% and 4,1%, respectively). Limpopo and North West had the highest proportions of children dying between the ages of 1 to 14 years (4,8% and 4,0%, respectively), while Western Cape had the lowest percentage (1,8%). Mpumalanga (34,1%) had the highest percentage of deaths for age groups 15–44 years, followed by KwaZulu-Natal (32,5%). Northern Cape had the highest proportion of deaths occurring at age groups 45–64 years (31,5%), while Western Cape had the highest proportion of deaths occurring amongst the elderly [ages 65 and older (38,5%)]. Appendix J presents the sex distribution of the deceased by province and district municipality of death occurrence. It is observed that Limpopo was the only province where female deaths outnumbered male deaths (98 male deaths per 100 female deaths). Western Cape had the highest sex ratio at death with 123 male deaths per 100 female deaths, followed by North West (117 male deaths per 100 female deaths). In the rest of the provinces, there were more male deaths than female deaths with sex ratios ranging from 105 male deaths per 100 female deaths in KwaZulu-Natal to 114 male deaths per 100 female deaths in Gauteng.
3.9.2 Differences by district municipality, age and sex The absolute number of deaths by age and district municipality of death occurrence as shown in Appendix I indicates that out of the 52 district municipalities, the top four district municipalities were metropolitan municipalities. These were the City of Johannesburg (29 645), the City of Cape Town (27 127), Ekurhuleni (23 558) and the City of Tshwane (23 221). Percentage variations in 2014 deaths by age and district municipality are presented in Appendix I1. John Taolo Gaetsewe in Northern Cape had the highest proportion of deaths occurring during infancy, accounting for 11,3% deaths in this district, followed by Dr Ruth Segomotsi in North West (9,8%) and Amajuba in KwaZulu-Natal (9,4%). The lowest proportions of deaths occurring during infancy were reported in Amathole in Eastern Cape and West Mortality and causes of death in South Africa, 2014: Findings from death notification
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Coast in Western Cape, representing 2,7% and 3,0% of the deaths respectively. Dr Ruth Segomotsi in North West (5,3%) had the highest proportion of deaths occurring among children aged 1–14 years, followed by O.R Tambo in Eastern Cape accounting for 5,1% of the deaths in the district. Deaths for the age group 15–44 years were mostly found in Ehlanzeni (36,3%) in Mpumalanga and O.R. Tambo (36,1%) in Eastern Cape. Central Karoo in Western Cape had the highest percentage of deaths (36,0%) occurring among ages 45–64 years, while Namakwa in Northern Cape had the second highest (34,2%). Among the elderly (65 years and above), Overberg in Western Cape and Namakwa in Northern Cape had the highest proportions (47,2% and 43,5% respectively). The sex distribution by district municipality of death occurrence is presented in Appendix J. The 2014 registered deaths were mostly characterised by more male deaths than female deaths. Out of the 52 districts, 44 districts had more male deaths and seven districts had more female deaths. The districts with higher male deaths relative to female deaths ranged from 101 male deaths per 100 female deaths in Sisonke in KwaZulu-Natal to as high as 135 male deaths per 100 female deaths in Namakwa – a district municipality in Northern Cape. The seven districts where female deaths exceeded male deaths were Vhembe (91 male deaths per 100 female deaths), Greater Sekhukhune (95 male deaths per 100 female deaths) and Mopani (97 male deaths per 100 female deaths) in Limpopo; Zululand (99 male deaths per 100 female deaths) in KwaZulu-Natal; Alfred Nzo (96 male deaths per 100 female deaths) and O.R Tambo (99 male deaths per 100 female deaths) in Eastern Cape; and Central Karoo (96 male deaths per 100 female deaths) in Western Cape. Male deaths also exceeded female deaths for deaths occurring outside South Africa with a sex ratio of 169 male deaths per 100 female deaths.
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4. Causes of death 4.1 Introduction This section presents information on causes of death for deaths that occurred in 2014 and that were registered at the Department of Home Affairs (DHA) using either form BI-1663 or form DHA-1663. The DHA used form BI-1663 prior to 2009 and a new death notification form (DHA-1663) was introduced in 2009. Since 2009, both the old and the new forms are used to register a death in South Africa. The old form (BI-1663) will continue to be used at various DHA offices until their stock is depleted. The Births and Deaths Registration Act (Act No. 51 of 1992) places a legal obligation on medical practitioners to state the cause of death on the death notification form. The information on causes of death provided in this statistical release is as recorded on death notification forms completed by medical practitioners. In view of the concern in South Africa around the levels of violence and deaths due to accidents, non-natural underlying causes of death are treated as a separate group. Non-natural causes of death comprise all deaths that were not attributable, or may not have been attributable to natural causes. In terms of the Inquests Act (Act No. 58 of 1959), these deaths are subject to medico-legal investigation. An autopsy must be performed to establish the cause of death, and an inquest is compulsory. The results of the inquest are then sent to the DHA, which issues the final death certificate. Underlying causes of death in this section are classified by the main groups, broad groups and Global Burden of Disease. Global Burden of Disease is a critical resource for informed policymaking, as it provides a tool to quantify and compare the effects of different diseases in a population. Deaths are further categorised by age, sex and province of death occurrence. Trend analysis covering the period 1997 to 2013 was undertaken using data that have been updated with late registrations processed during the processing of 2014 deaths, in order to establish prevailing patterns between the natural and non-natural causes of death. The last subsection provides a comparison between underlying, immediate and contributing causes of death. This analysis gives an overview of the recorded instances of multiple causes of death and utilises information on all causes of death recorded on each death notification form, as death notification forms allow for reporting one or more causes of death on each form.
4.2 Reported causes of death Both the BI-1663 and DHA-1663 death notification forms make provision for one or more causes to be recorded on the forms. These are Part 1 and Part 2 under “Medical Certificate of Cause of Death” on both death notification forms or under “Causes of Death” for perinatal deaths on the new form (DHA-1663). Part 1 is for reporting the chain of events leading directly to death on the first line and the underlying cause of death on the lowest line. Part 2 is for reporting other conditions that contributed to death, but did not cause any of the causes of death mentioned in Part 1. Table 4.1 provides information on the number of causes of death reported on each death notification form for deaths that occurred in 2014. A total of 2 880 (0,6%) forms had no information provided for the cause of death. Out of the 2 880 forms with missing cause of death information, 1 969 (68,4%) had a doctor’s tick to show that it was a natural cause of death while for 911 (31,6%) forms, the doctors stated that they were “not in a position to certify” or that the “death was under investigation”. These causes were subsequently coded to other ill-defined and unspecified causes of mortality (R99) or other conditions originating in the perinatal period (P96), depending on the age of the deceased. The majority of death notification forms (53,7%) had only one cause recorded, followed by 26,6% death notification forms that had two causes recorded and 13,4% with three causes recorded. The Table further shows that 5,6% of the death notification forms had four or more causes recorded. The pattern of recording causes on the death notification forms has generally remained the same since 1997.
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Table 4.1: Number and percentage distribution of death notification forms by the number of causes entered on the notification form, 2014 Number of death notification forms
Percentage
2 880
0,6
One cause
243 269
53,7
Two causes
120 618
26,6
Three causes
60 887
13,4
Four causes
20 055
4,4
Five causes
5 614
1,2
37
0,0
453 360
100,0
Number of the reported causes of death No cause
Six causes Total
4.3 Method of ascertaining cause of death The BI-1663 and DHA-1663 death notification forms make provision for a certifying official to indicate the method that was used to ascertain the cause of death. There are differences in the options available between the two forms: • Form BI-1663 has six options, namely autopsy, opinion of attending medical practitioner, opinion of attending medical practitioner on duty, opinion of professional nurse, interview of family member, and other (refer to Appendix B section G). There are two sections for the method of ascertaining the cause of death for form DHA-1663, depending on the age of the deceased: • For deaths occurring after one week of birth, DHA-1663 has the same six options as BI-1663 plus an additional option of “post-mortem examination” (refer to Appendix B1 section G.1). • For stillbirths and deaths occurring within one week of birth, form DHA-1663 has three options, namely autopsy, autopsy results may be available later, and autopsy not performed (refer to Appendix B1 section G.2). The resulting categories after combining comparable information in BI-1663 and DHA-1663 are provided in Table 4.2. The most common method of ascertaining the cause of death in 2014 was post-mortem examination with 24,1% deaths ascertained using this method, followed by 18,0% deaths ascertained through opinion of attending medical practitioner. About 11,5% of the deaths were ascertained through the opinion of a registered professional nurse. There were 2,2% causes of death that were ascertained by conducting an interview with a family member of the deceased to establish the cause of death.
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Table 4.2: Number and percentage distribution of deaths by method used to ascertain the cause of death, 2014 Method of ascertaining the cause of death
Number
Autopsy
Percentage
39 528
8,7
109 329
24,1
Opinion of attending medical practitioner
81 382
18,0
Opinion of attending medical practitioner on duty
11 616
2,6
Opinion of registered professional nurse
51 975
11,5
Interview of family member
9 826
2,2
Other
6 592
1,5
55
0,0
Autopsy not performed*
1 360
0,3
Unknown
3 524
0,8
Unspecified
138 173
30,5
Total
453 360
100,0
Post-mortem examination
Autopsy results may be available later*
4.4 Main groups of the underlying causes of death This subsection gives an overview of the underlying causes of death for main groups (chapters) of classification of causes of death. The ICD-10 classifies diseases and related health problems into 22 chapters, of which 19 are used in the reporting of information on underlying causes of death (see Table 4.3). The chapters excluded in this report are chapters 19, 21 and 22. These are discussed briefly below: 1. Chapter 19: Injury, poisoning and certain other consequences of external causes (S00-T98). These codes are used to classify causes of death in other causes but not in the underlying causes. 2. Chapter 21: Factors influencing health status and contact with health services (Z00-Z99). These are only used in morbidity coding. 3. Chapter 22: Codes for special purposes. These codes are used by the WHO for the provisional assignment of new diseases of uncertain aetiology. U51 and U52 were used for coding multidrug-resistant tuberculosis (MDR-TB) and extensively drug-resistant tuberculosis (XDR-TB) in this release for individual causes of death, but were both recoded to the broad group of tuberculosis (A15-A19) in the analyses. The number and percentage distribution of deaths by the 19 main groups (chapters) of the classification of causes of death is shown in Table 4.3. Infections and parasitic diseases as has generally been the case in the previous years, was the most common main group of causes of death in 2014 comprising 21,8% of all deaths. This group also includes 779 deaths due to multidrug-resistant tuberculosis (MDR-TB) and 77 deaths due to extensively drugresistant tuberculosis (XDR-TB). The reported number of deaths due to MDR-TB increased by 16,6% between 2013 and 2014, while XDR-TB increased by 1,3% for the same years. The second most common main group of causes of death was diseases of the circulatory system (17,3%), followed by symptoms and signs not elsewhere classified (12,5%), and external causes of morbidity and mortality (10,5%). Diseases of the respiratory system accounted for 10,0% deaths. The rest of the other main groups each contributed less than 10%. Neoplasms comprised 8,6% of all deaths; endocrine, nutritional and metabolic diseases contributed 6,5%; certain conditions originating in the perinatal period contributed 2,1% of all deaths, while pregnancy, childbirth and puerperium contributed 0,2% of all deaths.
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Table 4.3: Number and percentage distribution of deaths by main groups of causes of death, 2014* No.
Main groups of underlying causes of death (based on ICD-10)
Number
Percentage
1
Certain infectious and parasitic diseases (A00-B99)*
98 817
21,8
2
Neoplasms (C00-D48)
39 143
8,6
3
Diseases of the blood and immune mechanism (D50-D89)
9 594
2,1
4
Endocrine, nutritional and metabolic diseases (E00-E90)
29 642
6,5
5
Mental and behavioural disorders (F00-F99)
1 996
0,4
6
Diseases of the nervous system (G00-G99)
10 274
2,3
7
Diseases of the eye and adnexa (H00-H59)
16
0,0
8
Diseases of the ear and mastoid process (H60-H95)
54
0,0
9
Diseases of the circulatory system (I00-I99)
78 258
17,3
10
Diseases of the respiratory system (J00-J99)
45 381
10,0
11
Diseases of the digestive system (K00-K93)
11 928
2,6
12
Diseases of the skin and subcutaneous tissue (L00-L99)
793
0,2
13
Diseases of the musculoskeletal system etc. (M00-M99)
1 619
0,4
14
Diseases of the genitourinary system (N00-N99)
8 772
1,9
15
Pregnancy, childbirth and puerperium (O00-O99)
1 027
0,2
16
Certain conditions originating in the perinatal period (P00-P96)
9 363
2,1
17
Congenital malformations (Q00-Q99)
2 138
0,5
18
Symptoms and signs not elsewhere classified (R00-R99)
56 784
12,5
19
External causes of morbidity and mortality (V01-Y98)
47 761
10,5
453 360
100
Total * Including deaths due to MDR-TB and XDR-TB.
The number of deaths by selected main groups of causes of death for 2012–2014 is shown in Figure 4.1. Over the three-year period, consistent increases in the number of deaths were observed for diseases of the circulatory system, external causes of morbidity and mortality, neoplasms, and endocrine, nutritional and metabolic diseases. Consistent decreases were observed for diseases of the respiratory system, diseases of the blood and immune mechanism, diseases of the nervous system, and symptoms and signs not elsewhere classified. Diseases of the digestive system, diseases of the genitourinary system and certain conditions originating in the perinatal period remained constant. For certain infectious and parasitic diseases, the proportions were inconsistent over time, thus showing no evident pattern.
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Figure 4.1: Percentage distribution of deaths by selected main groups of causes of death, 2012–2014*
Certain infectious and parasitic diseases (A00-B99)**
2 16,4 16,7 17,3
Diseases of the circulatory system (I00-I99) 13,6 12,7 12,5
Symptoms and signs not elsewhere classified (R00-R99) 9,9 10,4 10,5
External causes of morbidity and mortality (V01-Y98)
10,8 10,3 10,0
Diseases of the respiratory system (J00-J99) 7,8 8,3 8,6
Neoplasms (C00-D48) 5,8 6,3 6,5
Endocrine, nutritional and metabolic diseases (E00-E90) Diseases of the digestive system (K00-K93)
2,6 2,6 2,6
Diseases of the nervous system (G00-G99)
2,5 2,4 2,3 2,9 2,2 2,1
Diseases of the blood and immune mechanism (D50-D89)
2,1 2,1 2,1
Certain conditions originating in the perinatal period (P00-P96)
1,7 1,9 1,9
Diseases of the genitourinary system (N00-N99)
0,0
5,0
10,0
15,0
20,0
Percentage
*(1) Data for 2012–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015. (2) Excluding main groups with less than 1% of deaths. ** Including deaths due to MDR-TB and XDR-TB.
4.5 Natural and non-natural causes of death According to the ICD-10 codebook, all causes of death from chapters 1 to 18 of ICD-10 are classified as natural causes and chapter 20 (V01-Y98) as non-natural causes. Table 4.4 shows the actual number of natural and nonnatural deaths by year of death from 1997 to 2014. Throughout all the years, the number of deaths due to natural causes was always higher than the number of deaths due to non-natural causes. Between 1997 and 2006, there was a steady increase in the number of natural deaths, after which there was a decline. The results show that there has been an inconsistent pattern in the number of deaths due to non-natural causes from 1997 to 1999, followed by a steady and consistent rise in non-natural deaths from 2000 until 2005. The number of deaths due to natural causes has been declining since 2008, whereas there is no noticeable pattern in the number of non-natural deaths from 2006 to 2014 except for the period of 2009 to 2011, where the number of non-natural deaths was decreasing.
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Table 4.4: Number of natural and non-natural deaths by year of death, 1997–2014* Number of natural deaths
Number of non-natural deaths
Total
1997
263 592
54 135
317 727
1998
311 322
55 155
366 477
1999
329 147
53 383
382 530
2000
367 223
49 819
417 042
2001
405 644
50 410
456 054
2002
451 623
51 537
503 160
2003
505 321
52 937
558 258
2004
524 775
53 442
578 217
2005
545 225
54 042
599 267
2006
560 721
53 293
614 014
2007
551 331
54 618
605 949
2008
544 189
53 592
597 781
2009
532 232
50 724
582 956
2010
501 180
49 221
550 401
2011
467 919
47 019
514 938
2012
443 406
48 656
492 062
2013
423 991
49 393
473 384
2014
405 599
47 761
453 360
Year of death
*Data for 1997–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015.
Figure 4.2 shows the percentage of deaths due to natural and non-natural causes between 1997 and 2014. The majority (over 80%) of deaths were due to natural causes throughout this period, although with declining proportions from 2010. Conversely, the proportion of deaths due to non-natural underlying causes of death has been on the increase since 2010 (from 8,9% in 2010 to 10,5% in 2014).
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Figure 4.2: Percentage distribution of natural and non-natural causes of death by year of death, 1997–2014* 100%
Percentage
80%
60%
40%
20%
0%
1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Non-natural 17,0 15,1 14,0 11,9 11,1 10,2 9,5 9,2 9,0 8,7 9,0 9,0 8,7 8,9 9,1 9,9 10,4 10,5 Natural
83,0
84,9
86,0
88,1
88,9
89,8
90,5
90,8
91,0
91,3
91,0
91,0
91,3
91,1
90,9
90,1
89,6
89,5
Year of death *Data for 1997–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015.
Natural and non-natural causes of death by age The percentage distribution of deaths due to natural and non-natural causes classified into age groups for deaths that occurred in 2014 is provided in Figure 4.3. The general pattern observed shows that age groups 15–19 and 20–24 were the ages mostly affected by non-natural causes. Other ages with higher proportions (over 20%) of deaths due to non-natural causes were age groups 1–4 years (34,3%), 5–9 years (18,5%) and 10–14 years (28,4%). Ages least affected by non-natural deaths were infancy (age 0) and older ages (60 years and older) where less than 5% of the deaths in each of these age groups were due to non-natural causes of death.
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Figure 4.3: Percentage distribution of natural and non-natural causes of death by age, 2014* 100% 90% 80% 70%
Percentage
60% 50% 40% 30% 20% 10% 0%
0
1-4
5-9
Non-natural
3,5
34,3
18,5
10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 28,4
43,2
43,9
30,4
20,0
14,8
11,5
9,5
7,7
6,0
4,5
3,4
2,9
2,6
2,5
2,6
90+ 2,3
Natural
96,5
65,7
81,5
71,6
56,8
56,1
69,6
80,0
85,2
88,5
90,5
92,3
94,0
95,5
96,6
97,1
97,4
97,5
97,4
97,7
Age group * Excluding deaths with unspecified age.
4.6 Major groups of causes of death as per Global Burden of Disease The Global Burden of Diseases is the main and most complete effort to measure epidemiological levels and trends of health within different populations. The 19 ICD-10 chapters used in the reporting of information on underlying causes of death can be further condensed into three groups of causes of death as per the Global Burden of Disease cause list: Group I: • Communicable diseases (e.g. Tuberculosis, pneumonia, diarrhoea, malaria, measles); • Maternal and perinatal causes (e.g. maternal hemorrhage, birth trauma); and • Nutritional conditions (e.g. protein-energy malnutrition) Group II: Non-communicable diseases (e.g. cancer, diabetes, heart disease and asthma) Group III: External causes of mortality (e.g. accidents, homicide and suicide) Communicable diseases are diseases caused by pathogenic microorganisms, such as bacteria, viruses, parasites or fungi and can be spread, directly or indirectly, from one person to another. These include, amongst other diseases, diarrhoea, tuberculosis and pneumonia. Non-communicable diseases are medical conditions or diseases that are non-infectious or non-transmissible among people. These last for longer periods of time and progress slowly and include, amongst others, cancer, asthma and heart diseases. External causes of mortality are the non-natural causes of death. Figure 4.4 shows the percentage distribution of deaths by group type and year of death. The pattern observed shows that in South Africa prior to 2003, there were more deaths from non-communicable diseases relative to communicable diseases, although the gap was narrowing over time. However, from 2004 until 2008, deaths due to communicable diseases exceeded non-communicable deaths. Over the years 2010 to 2014, the gap between the Mortality and causes of death in South Africa, 2014: Findings from death notification
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communicable and non-communicable diseases widened with more deaths resulting from non-communicable diseases. Overall, the pattern shows an epidemiological shift in the main causes of death and disease, away from communicable diseases towards non-communicable diseases. Deaths due to injuries took a downward trend from 16,8% in 1997 to 8,5% in 2006, and thereafter there remained more or less constant from 2007 up to 2009. Between 2010 and 2014, a consistent increase in the proportions of deaths due to injuries was noted from 8,9% in 2010 to 10,5% in 2014. Figure 4.4: Percentage of deaths due to communicable diseases (Group I), non-communicable diseases (Group II) and injuries (Group III) by year of death, 1997–2014* 60,0
Percentage of total deaths
50,0
40,0
30,0
20,0
10,0
0,0
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
Group I
29,7
33,0
35,4
38,3
40,6
43,8
45,7
47,0
48,2
47,8
47,0
47,2
45,6
44,5
41,6
39,2
38,2
36,8
Group II
53,5
52,2
50,9
50,0
48,6
46,1
45,0
44,0
43,0
43,7
44,1
43,8
45,7
46,6
49,3
50,9
51,4
52,7
Group III
16,8
14,8
13,7
11,7
10,9
10,0
9,3
9,0
8,8
8,5
8,9
9,0
8,7
8,9
9,1
9,9
10,4
10,5
Year of death * (1) Data for 1997–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015. (2) Redistributed unknown age and ill-defined diseases R00-R99 proportionately to causes in Group I and Group II.
The percentage distribution of group type by sex and age group is shown in Figure 4.5. For 2014 deaths, the proportion of deaths due to Group I causes (communicable diseases, maternal, perinatal and nutritional conditions) was high amongst children for both males and females. For both sexes, deaths due to Group I causes were low amongst the elderly (65 years and older) as compared to the other age groups. [For males, deaths due to noncommunicable diseases peaked at age groups 35–39 years and 40–44 years, while for females, deaths attributed to non-communicable diseases peaked at groups 25–29 years and 30–34 years]. The proportion of deaths due to Group II causes increased with age. It was relatively low for infants (aged 0) for both sexes and increased remarkably until age group 10–14 years and decreased thereafter up until age group 20–24 years amongst males, and 25–29 years amongst females. It rose notably at older ages for box sexes due to the increasing incidence of cancers and cardiovascular diseases. The proportion of deaths due to Group III causes, i.e. external causes of death including accidents and violence, was generally highest among the youth. This pattern was especially marked among males.
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Figure 4.5: Percentage distribution of deaths due to communicable diseases (Group I), non-communicable diseases (Group II) and injuries (Group III) by sex and age group, 2014* Males 90,0 80,0
Percentage of total deaths
70,0 60,0 50,0 40,0 30,0 20,0 10,0 0,0
0
1-4
5-9
Group I
81,3
61,0
34,8
10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 37,4
22,3
20,1
35,7
48,8
54,2
53,2
47,3
39,3
30,9
25,7
20,1
17,7
16,3
15,0
17,4
18,4
90+
Group II
15,2
19,1
26,9
28,3
20,9
15,0
16,1
20,3
24,5
31,1
40,0
51,0
61,6
68,5
76,0
79,0
80,9
82,1
79,5
78,7
Group III
3,5
19,9
38,4
34,3
56,8
65,0
48,2
30,9
21,3
15,7
12,7
9,7
7,5
5,7
3,9
3,4
2,9
2,8
3,1
2,9
Age group
Females 90,0
Percentage of total deaths
80,0 70,0 60,0 50,0 40,0 30,0 20,0 10,0 0,0
0
1-4
5-9
10-14
85-89
90+
Group I
81,3
62,4
39,5
44,0
15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 46,4
59,9
66,3
66,4
61,5
54,6
44,1
34,4
26,5
60-64 65-69 70-74 75-79 80-84 20,5
16,1
15,2
14,8
15,7
16,6
18,8
Group II
15,1
20,7
31,6
34,9
28,3
24,4
24,0
27,2
32,5
39,9
50,8
60,9
69,5
76,6
81,2
82,3
82,8
82,0
81,0
79,1
Group III
3,6
16,9
28,9
21,1
25,3
15,7
9,7
6,5
6,0
5,5
5,1
4,7
4,0
2,9
2,7
2,5
2,4
2,3
2,4
2,1
Age group
*Redistributed unknown age and ill-defined diseases (R00-R99) proportionately to causes in Group I and Group II.
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4.7 Broad groups of natural causes of death This subsection presents information on the leading underlying natural causes of death. The ten leading causes were identified by ranking the causes of death by frequency among those eligible for ranking as described in Section 2. The top-ranking causes determined the leading underlying natural causes of death. The ranking of the leading causes of death in this section excludes symptoms, signs and abnormal findings, not elsewhere classified as well as all non-natural deaths (external causes of morbidity and mortality). Non-natural causes will be discussed in the next subsection.
4.7.1 Overall pattern of the leading underlying natural causes of death The ten leading underlying causes of death in South Africa in 2012−2014 are shown in Table 4.5. The years 2012 and 2013 have been included to show recent trends in natural causes of death. In essence, the Table provides changes in the ten leading underlying causes of death by absolute numbers and percentages over the three-year period. The distribution of deaths by all broad groups of causes of death ranked by frequency (including non-natural causes) for 2014 is shown in Appendix K (see pages 84−87) while the breakdown of individual causes for the broad groups that were among the ten leading causes in 2014 is provided in Appendix L (see pages 88−90). Table 4.5 shows that the ten leading natural underlying causes of death were the same for the three years, with tuberculosis, hypertensive disease and chronic lower respiratory diseases maintaining the same rank in the threeyear period. Only four of the ten leading underlying causes of death remained in the top five leading causes of death for the three-year period, with the exception of other forms of heart diseases which was ranked fourth in 2012 but moved to sixth place in 2013 and maintained the same rank in 2014. HIV disease was not in the top five in 2012, but was in the top five in 2013 and 2014. Cerebrovascular diseases and influenza and pneumonia remained in the top five leading causes but exchanged positions between 2013 and 2014. Tuberculosis was the leading cause of death during the three years, accounting for 8,4% in 2014; 8,8% in 2013; and 9,9% in 2012. In 2014, cerebrovascular diseases was the second leading underlying cause of death comprising 5,1% deaths; followed by diabetes mellitus with 5,0% deaths. Influenza and pneumonia (4,9%) occupied the fourth position while human immunodeficiency virus [HIV] disease ranked fifth with 4,8% deaths attributed to it. For the years 2012 and 2013, influenza and pneumonia and diabetes mellitus maintained their positions as the second and fifth leading cause of death respectively. Human immunodeficiency virus [HIV] disease was the third leading cause of death in 2013 and moved to fifth in 2014.
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Table 4.5: The ten leading underlying natural causes of death, 2012–2014* Causes of death (based on ICD-10) Tuberculosis (A15-A19)**
2012 Rank 1
2013
Number
%
Rank
48 506
9,9
1
2014
Number
%
Rank
41 751
8,8
1
Number
%
37 878
8,4
Cerebrovascular diseases (I60-I69)
3
24 498
5,0
4
23 089
4,9
2
23 088
5,1
Diabetes mellitus (E10-E14)
5
21 840
4,4
5
23 070
4,9
3
22 747
5,0
Influenza and pneumonia (J09-J18) Human immunodeficiency virus [HIV] disease (B20-B24)
2
26 940
5,5
2
24 250
5,1
4
22 036
4,9
6
19 173
3,9
3
23 753
5,0
5
21 938
4,8
Other forms of heart disease (I30-I52)
4
22 383
4,5
6
22 125
4,7
6
21 339
4,7
Hypertensive diseases (I10-I15) Intestinal infectious diseases (A00A09)
7
16 522
3,4
7
17 071
3,6
7
17 770
3,9
9
15 260
3,1
8
16 114
3,4
8
14 471
3,2
8
15 343
3,1
9
14 020
3,0
9
13 996
3,1
10
12 492
2,5
10
12 343
2,6
10
12 096
2,7
220 449
44,8
206 405
43,6
198 240
43,7
Other viral diseases (B25-B34) Chronic lower respiratory diseases (J40-J47) Other natural causes Non-natural causes All causes
48 656
9,9
49 393
10,4
47 761
10,5
492 062
100,0
473 384
100,0
453 360
100,0
*Data for 2012–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015. ** Including deaths due to MDR-TB and XDR-TB.
4.7.2 Leading underlying natural causes of death by sex The distribution of the ten leading underlying natural causes of death in 2014 by sex is shown in Table 4.6. Overall, nine of the ten leading causes were the same for both sexes, although with different ranks. Chronic lower respiratory diseases was among the ten leading causes of death for males, but not for females, whereas malignant neoplasms of female genital organs was among the top ten underlying causes of death for females. Malignant neoplasms of female genital organs were coming up among the ten leading underlying causes of death for females for the first time since 1997. Being the leading cause of death in South Africa overall, tuberculosis was also the leading cause of death for both sexes. Influenza and pneumonia was the second leading cause of death amongst males, and was responsible for 4,7% of male deaths while it ranked sixth amongst females and was responsible for 5,0% deaths. Similar to the previous years, human immunodeficiency virus (HIV) disease ranked higher amongst males compared to females. Human immunodeficiency virus (HIV) disease was the third leading cause of death for males, accounting for 4,7% of male deaths, but was the seventh leading cause of death among females, accounting for 5,0% of female deaths. Three of the top five leading underlying causes of death amongst males were communicable diseases, while the top five leading underlying causes of death amongst females were dominated by non-communicable diseases, with only tuberculosis as a communicable disease. The second leading cause of death amongst females was diabetes mellitus, which was responsible for 6,4% female deaths. The third leading cause amongst females was cerebrovascular diseases, comprising 6,1% female deaths. Hypertensive diseases had the highest difference in ranking between the two sexes, ranking fifth for females and tenth for males.
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Table 4.6: The ten leading underlying natural causes of death for males and females, 2014* Male
Causes of death (based on ICD-10)
Rank
Tuberculosis (A15-A19)**
1
Female
Number
%
Rank
22 545
9,5
1
Number
%
15 174
7,1
Influenza and pneumonia (J09-J18)
2
11 203
4,7
6
10 739
5,0
Human immunodeficiency virus [HIV] disease (B20-B24)
3
11 160
4,7
7
10 685
5,0
Cerebrovascular diseases (I60-I69)
4
9 908
4,2
3
13 149
6,1
Other forms of heart disease (I30-I52)
5
9 872
4,2
4
11 418
5,3
Diabetes mellitus (E10-E14)
6
8 914
3,8
2
13 819
6,4
Chronic lower respiratory diseases (J40-J47)
7
7 300
3,1
…
…
…
Other viral diseases (B25-B34)
8
6 913
2,9
9
7 019
3,3
Intestinal infectious diseases (A00-A09)
9
6 795
2,9
8
7 607
3,5
Hypertensive diseases (I10-I15)
10
6 670
2,8
5
11 081
5,2
Malignant neoplasms of female genital organs (C51-C58)
…
…
…
10
4 913
2,3
Other natural causes
99 026
41,9
98 205
45,7
Non-natural causes
36 307
15,3
11 017
5,1
236 613
100,0
214 826
100,0
All causes *Excluding deaths with unspecified sex. **Including deaths due to MDR-TB and XDR-TB. …category not in the top 10
The proportion of deaths associated with the ten leading underlying causes of death classified by sex for the period 2012–2014 is shown in Figure 4.6. Over the three-year period, only tuberculosis remained the first leading underlying cause of death for both males and females, although the proportions reduced over time. In addition, tuberculosis, influenza and pneumonia, HIV, cerebrovascular diseases and other forms of heart disease were the five main contributors of male deaths for the three-year period; however, they differed in proportions each year. For females, only tuberculosis and cerebrovascular diseases were leading causes throughout the three-year period. The main similarity between males and females is that there were year-by-year increases in the number of deaths due to hypertensive disease and diabetes mellitus and decreases in the number of deaths due to influenza and pneumonia and tuberculosis for both sexes. Accordingly, this shows an increase in non-communicable diseases and a decline in communicable diseases. With the exception of tuberculosis, which showed notable declines for both sexes, the main change in the causes of death for females was the increase in the proportion of female deaths due to diabetes mellitus (from 5,6% in 2012 to 6,2% in 2013, then to 6,4% in 2014). There was also an evident increase in the proportion of female deaths due to malignant neoplasms of genital organs (from 1,9% in 2012 to 2,3% in 2014). As previously stated, it was for the first time that this cancer type was amongst the top ten leading underlying causes of death since 1997 amongst females. The most observable decrease in the proportion of female deaths was recorded for deaths caused by influenza and pneumonia (from 5,7% in 2012 to 5,0% female deaths in 2014). For males, there were noticeable increases in the proportion of deaths due to diabetes mellitus, other forms of heart diseases, chronic lower respiratory diseases, hypertensive diseases and malignant neoplasms of the digestive system, and declines in the proportion of deaths due to tuberculosis, influenza and pneumonia and ischaemic heart disease. There was no clear pattern in the proportion of deaths due to cerebrovascular diseases, intestinal infectious diseases and HIV diseases over the three-year period for both sexes.
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Figure 4.6: Percentage distribution of deaths for the leading causes of death by year of death and sex, 2012– 2014* Males Tuberculosis (A15-A19)**
9,9 9,5
10,9
5,3 5,0 4,7
Influenza and pneumonia (J09-J18) 3,8
Human immunodeficiency virus [HIV] disease (B20-B24)
4,8 4,7
Cerebrovascular diseases (I60-I69)
4,0 4,0 4,2
Other forms of heart disease (I30-I52)
4,0 4,1 4,2 3,4 3,7 3,8
Diabetes mellitus (E10-E14)
2,9 3,0 3,1
Chronic lower respiratory diseases (J40-J47)
2,8 2,7 2,9
Other viral diseases (B25-B34)
2,8 3,1 2,9
Intestinal infectious diseases (A00-A09) Hypertensive diseases (I10-I15)
2,5 2,6 2,8
Ischaemic heart diseases (I20-I25)
2,7 2,7 2,6 2,2 2,3 2,3
Malignant neoplasms of digestive organs (C15-C26) 0,0
2,0
4,0
6,0
8,0
10,0
12,0
14,0
10,0
12,0
14,0
Percentage 2012
2013
2014
Females Tuberculosis (A15-A19)**
7,1
Influenza and pneumonia (J09-J18)
5,2 5,0 4,0
Human immunodeficiency virus [HIV] disease (B20-B24)
7,6
8,7
5,7
5,2 5,0 6,1 5,9 6,1
Cerebrovascular diseases (I60-I69) 5,2 5,3 5,3
Other forms of heart disease (I30-I52)
5,6
Diabetes mellitus (E10-E14)
6,2 6,4
2,2 2,2 2,2
Chronic lower respiratory diseases (J40-J47)
3,5 3,3 3,3
Other viral diseases (B25-B34)
3,4 3,8 3,5
Intestinal infectious diseases (A00-A09)
4,3 4,7 5,2
Hypertensive diseases (I10-I15) 2,2 2,2 2,2
Ischaemic heart diseases (I20-I25)
1,9 2,1 2,3
Malignant neoplasms of female genital organs (C51-C58) 0,0
2,0
4,0
6,0
8,0
Percentage 2012
2013
2014
*Data for 2012–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015. ** Including deaths due to MDR-TB and XDR-TB.
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4.7.3 Leading underlying natural causes of death by age Table 4.7 shows the ten leading underlying causes of death for broad age groups (0, 1–14, 15–44, 45–64, and 65 years and older) for 2014. This age grouping is in line with the World Health Organization’s recommendations for classifying age for international comparison (WHO, 2009). For each of the age groups, influenza and pneumonia was ranked in the top ten with differing ranks. It ranked third for infants (9,0%); second for age group 1–14 years (7,5%); fourth for age group 15–44 years (4,7%); sixth for age group 45–64 years (4,4%) and fifth for age group 65 years and older, accounting for 4,5% deaths in this age group. Tuberculosis and other forms of heart diseases were causes of death in all age groups except infants, and intestinal infectious diseases were causes of death in all age groups save age group 45–64 years. For infant deaths (age 0), respiratory and cardiovascular disorders specific to the perinatal period was the leading underlying cause of death responsible for 14,5% deaths in this age. Intestinal infectious diseases was the second leading cause of death, accounting for 12,9% deaths, followed by influenza and pneumonia, which constituted 9,0% deaths in this age group. For age group 1–14 years, intestinal infectious diseases was the leading cause of death, accounting for 12,2% deaths in this age group, followed by 7,5% deaths attributed to influenza and pneumonia. Malnutrition was the third leading cause of death (5,3%), followed by tuberculosis (4,6%). Cerebral palsy and other paralytic syndromes was among the top ten leading underlying causes of death only for age group 1–14, and responsible for 1,7% deaths in this age group. The leading underlying cause of death for age group 15–44 years was tuberculosis, constituting 14,6% deaths, followed by human immunodeficiency virus [HIV] diseases, accounting for 10,6% deaths. Other viral diseases was ranked third, accounting for 6,3% deaths, followed by influenza and pneumonia that ranked fourth with 4,7% deaths. Certain disorders involving the immune mechanism and intestinal infectious diseases ranked fifth and seventh, respectively. Certain disorders involving the immune mechanism were amongst the ten leading causes of death for this age group only. Malnutrition and other acute lower respiratory infections were amongst the ten leading causes of death for only infants and age group 1–14 years, but differed in rankings. Inflammatory diseases of the central nervous system were amongst the top ten leading causes of death only for age groups 1–14 years and 15–44 years; however, their rankings in these age groups were different. For age groups 45–64 and 65 years and older, eight of the ten leading underlying causes of death were the same with the difference being in the rankings only. Amongst these eight common underlying causes, tuberculosis had the largest difference in terms of ranks. It was the leading cause of death amongst age group 45–64 years while it ranked ninth amongst the elderly (65+). Diabetes mellitus was the only underlying cause of death that had the same ranking amongst the two age groups. Cerebrovascular diseases was the leading cause of death for age group 65 years and older, accounting for 9,6% deaths, followed by diabetes mellitus, which was responsible for 8,6% deaths. The two underlying causes which were different for the two age groups were intestinal infectious diseases and ischaemic heart diseases which were amongst the ten leading underlying causes of death for age groups 65 years and older, but not for age group 45–64, while human immunodeficiency virus [HIV] diseases and other viral disease were amongst the ten leading causes of death for age group 45–64 years, but not in the top ten for those aged 65 years and older.
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34
... ... ... ... ...
Diabetes mellitus (E10-E14)
Hypertensive diseases (I10-I15)
Chronic lower respiratory diseases (J40-J47)
Malignant neoplasms of digestive organs (C15-C26)
Ischaemic heart diseases (I20-I25)
...
...
...
...
...
...
All causes
25 643
905
...
Protozoal diseases (B50-B64)
...
Non-natural causes
...
Cerebrovascular diseases (I60-I69)
...
...
8 894
...
Certain disorders involving the immune mechanism (D80-D89)
...
...
...
...
...
866
1 211
1 345
2 301
Other natural causes
...
Cerebral palsy and other paralytic syndromes (G80-G83)
...
Tuberculosis (A15-A19)*
...
10
Other forms of heart disease (I30-I52)
9
Other acute lower respiratory infections (J20-J22) Haemorrhagic and haematological disorders of fetus and newborn (P50P61)
...
8
Inflammatory diseases of the central nervous system (G00-G09)
7
Malnutrition (E40-E46)
...
470
6
Disorders related to length of gestation and fetal growth (P05-P08) Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
...
480
5
Infections specific to the perinatal period (P35-P39)
Other viral diseases (B25-B34)
938
4
Other disorders originating in the perinatal period (P90-P96)
Human immunodeficiency virus [HIV] disease (B20-B24)
1 210
3
Influenza and pneumonia (J09-J18)
3 316
2
3 707
1
Number
Intestinal infectious diseases (A00-A09)
Rank
0
Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29)
Causes of death (based on ICD-10)
100,0
3,5
34,7
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1,8
1,9
3,4
3,7
4,7
4,7
5,2
9,0
12,9
14,5
%
...
...
...
...
...
...
...
...
9
8
7
6
5
4
...
10
3
...
...
...
...
2
1
...
Rank
14 854
3 548
5 127
...
...
...
...
...
...
...
...
251
268
289
341
412
686
...
212
785
...
...
...
...
1 118
1 817
...
Number
1−14
100,0
23,9
34,5
...
...
...
...
...
...
...
...
1,7
1,8
1,9
2,3
2,8
4,6
...
1,4
5,3
...
...
...
...
7,5
12,2
...
%
...
...
...
...
...
...
10
5
...
8
9
3
2
1
...
...
...
...
...
...
...
4
7
...
Rank
Table 4.7: The ten leading underlying natural causes of death for broad age groups, 2014
Statistics South Africa
15−44
100,0
22,4
29,4
...
...
...
...
...
...
1,4
3,1
...
2,3
1,5
6,3
10,6
14,6
...
...
...
...
...
...
...
4,7
2,4
...
%
...
10
8
7
2
...
3
...
...
5
...
9
4
1
...
...
...
...
...
...
...
6
...
...
Rank
45−64
127 374
8 683
55 276
...
3 957
4 330
5 013
8 377
...
6 790
...
...
5 898
...
4 205
6 427
12 860
...
...
...
...
...
...
...
5 558
...
...
Number
100,0
6,8
43,4
...
3,1
3,4
3,9
6,6
...
5,3
...
...
4,6
...
3,3
5,0
10,1
...
...
...
...
...
...
...
4,4
...
...
%
7
8
6
4
2
...
1
...
...
3
...
...
...
9
...
...
...
...
...
...
...
5
10
...
Rank
65+
150 647
4 191
62 877
6 596
4 790
6 607
11 781
12 938
...
14 399
...
...
11 852
...
...
...
4 509
...
...
...
...
...
...
...
6 732
3 375
...
Number
100,0
2,8
41,7
4,4
3,2
4,4
7,8
8,6
...
9,6
...
...
7,9
...
...
...
3,0
...
...
...
...
...
...
...
4,5
2,2
...
%
Mortality and causes of death in South Africa, 2014: Findings from death notification
133 673
30 000
39 343
...
...
...
...
...
...
1 808
4 132
...
3 073
1 987
8 480
14 106
19 506
...
...
...
...
...
...
...
6 267
3 256
...
Number
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P0309.3
4.7.4 Leading underlying natural causes of death for children aged below five years by age groups Table 4.8 shows the ten leading causes of death for neonatal deaths (babies that died within the first 28 days of life), post-neonatal deaths (29 days to 11 months), all infant deaths (aged less than one year), deaths among children aged 1–4 years, and under-5 deaths. Infant deaths are composed of both neonatal and post-neonatal deaths. Neonatal deaths mainly resulted from respiratory and cardiovascular disorders specific to the perinatal period which was the leading underlying cause of death among neonates, and responsible for 35,0% deaths. The second leading underlying cause of death for neonatal deaths was other disorders originating in the perinatal period, accounting for 12,8% of all neonatal deaths. The ten leading underlying causes of death during the neonatal period constituted 91,4% of deaths in this age group. The leading cause of death for those who died during the post-neonatal period was intestinal infectious diseases (20,7%), followed by influenza and pneumonia (15,2%). Malnutrition (5,7%) was the third leading cause of death. Taken together, these top three underlying causes of death contributed 41,6% of the total deaths that occurred during the post-neonatal period. Human immunodeficiency virus [HIV] disease was ranked eighth, accounting for 1,7% deaths. The overlapping leading underlying cause of death for those who died during the neonatal and postneonatal period was congenital malformations of the circulatory system which ranked ninth for both groups. For overall infant deaths, the leading cause of death was respiratory and cardiovascular disorders specific to the perinatal period (14,5%), followed by intestinal infectious diseases (12,9%) and influenza and pneumonia (9,0%). Even though malnutrition was the third leading underlying cause for post-neonatal deaths, it was the eighth underlying cause of death amongst infants. The three leading causes of death for those aged 1–4 years were intestinal infectious diseases (17,2%), influenza and pneumonia (9,1%) and malnutrition (8,6%) respectively. Tuberculosis (3,1%) was the fourth leading cause of death while human immunodeficiency virus [HIV] disease (2,2%) was the fifth and other viral diseases (2,0%) were the sixth. Tuberculosis and inflammatory diseases of the central nervous system were amongst the ten leading causes of death only for children aged 1–4 years. Intestinal infectious diseases was the leading cause of death for children under five years, accounting for 14,0% deaths, followed by respiratory and cardiovascular disorders specific to the perinatal period, which was responsible for 10,8% deaths. Influenza and pneumonia (9,0%) was ranked third and malnutrition (4,7%) was ranked fourth. Other disorders originating in the perinatal period ranked fifth and was responsible for 3,9% of all deaths. Intestinal infectious diseases was amongst the ten leading underlying causes of death for infant deaths as well as age group 1–4 years and children aged below five years. Malnutrition, influenza and pneumonia and other acute lower respiratory infections were common in all ages except among neonatal deaths. Digestive system disorders of fetus and newborn and other congenital malformations appeared only among neonatal deaths. Other diseases of the respiratory system featured only among post-neonatal deaths.
Mortality and causes of death in South Africa, 2014: Findings from death notification
36
... ...
... ...
...
...
...
..
...
...
...
...
...
..
Influenza and pneumonia (J09-J18)
Malnutrition (E40-E46)
Other acute lower respiratory infections (J20-J22)
Other bacterial diseases (A30-A49)
Other viral diseases (B25-B34)
Other diseases of the respiratory system (J95-J99) Human immunodeficiency virus [HIV] disease (B20B24)
Other forms of heart disease (I30-I52)
Tuberculosis (A15-A19)* Inflammatory diseases of the central nervous system (G00-G09)
10 503
126
Non-natural causes
All causes
775
Other natural causes
...
...
...
...
...
...
179
10
Intestinal infectious diseases (A00-A09)
297
7
213
460
6
9
934
5
282
1 074
4
8
1 144
1 345
2
3
3 674
Number
1
Rank
1,2
7,4
...
...
...
...
...
...
...
...
...
...
1,7
2,0
2,7
2,8
4,4
8,9
10,2
10,9
12,8
35,0
%
100,0
Neonatal (0-28 days)
Other congenital malformations (Q80-Q89) Congenital malformations of the circulatory system (Q20-Q28)
Infections specific to the perinatal period (P35-P39) Disorders related to length of gestation and fetal growth (P05-P08) Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04) Haemorrhagic and haematological disorders of fetus and newborn (P50-P61) Digestive system disorders of fetus and newborn (P75-P78)
Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29) Other disorders originating in the perinatal period (P90-P96)
Causes of death (based on ICD-10)
...
...
10
8
7
6
5
4
3
2
1
9
...
...
...
...
...
...
...
...
Rank
15 140
779
5 702
...
...
225
253
349
352
459
468
866
2 300
3 137
250
...
...
...
...
...
...
...
...
Number
100,0
5,1
37,7
...
...
1,5
1,7
2,3
2,3
3,0
3,1
5,7
15,2
20,7
1,7
...
...
...
...
...
...
...
%
Post-neonatal (29 days to 11 months)
...
...
...
...
...
...
...
9
8
3
2
...
...
...
10
7
6
5
4
1
Rank
100,0
3,5
34,7
...
...
...
...
...
...
...
1,9
3,4
9,0
12,9
...
...
...
1,8
3,7
4,7
4,7
5,2
14,5
%
10
4
8
5
...
6
9
7
3
2
1
...
...
...
...
...
...
...
...
...
Rank
8 619
1 591
2 843
121
266
142
191
...
169
128
152
745
785
1 486
...
...
...
...
...
...
...
...
...
Number
1-4 years
100,0
18,5
33,0
1,4
3,1
1,6
2,2
...
2,0
1,5
1,8
8,6
9,1
17,2
...
...
...
...
...
...
...
...
...
%
...
...
...
...
...
...
10
9
4
3
1
...
...
...
...
8
6
7
5
2
Rank
34 262
2 496
12 635
...
...
...
...
...
...
587
632
1 611
3 086
4 802
...
...
...
...
938
1 212
1 211
1 345
3 707
Number
Under 5 years %
100,0
7,3
36,9
...
...
...
...
...
...
1,7
1,8
4,7
9,0
14,0
...
...
...
...
2,7
3,5
3,5
3,9
10,8
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
25 643
905
8 894
...
...
...
...
...
...
...
480
866
2 301
3 316
...
...
...
470
938
1 210
1 211
1 345
3 707
Number
Less than 1 year
Table 4.8: The ten leading underlying natural causes of death for infants and children aged below five years, 2014
Statistics South Africa
Statistics South Africa
P0309.3
37
4.7.5 Leading underlying natural causes of death for the population aged 15–24 years Table 4.9 shows the ten leading causes of death for age group 15–24 years. The World Health Organization in the ICD-10 recommends that age group 15–24 years be included in the analysis for international comparison (WHO, 1992). Tuberculosis was the leading cause of death, accounting for 9,2% of deaths in this age group, followed by human immunodeficiency virus [HIV] disease (5,8%) and then other viral diseases (3,4%). Influenza and pneumonia, intestinal infectious diseases and other forms of heart disease were the fourth, fifth and sixth leading causes of death, respectively. Episodic and paroxysmal disorders was ranked ninth, and was responsible for 1,3% deaths in this age group. Table 4.9: The ten leading underlying natural causes of death for the population aged 15–24 years, 2014 15–24
Causes of death (based on ICD-10)
Rank
Number
Percentage
Tuberculosis (A15-A19)*
1
1 920
9,2
Human immunodeficiency virus [HIV] disease (B20-B24)
2
1 220
5,8
Other viral diseases (B25-B34)
3
720
3,4
Influenza and pneumonia (J09-J18)
4
709
3,4
Intestinal infectious diseases (A00-A09)
5
421
2,0
Other forms of heart disease (I30-I52)
6
410
2,0
Certain disorders involving the immune mechanism (D80-D89)
7
354
1,7
Inflammatory diseases of the central nervous system (G00-G09)
8
335
1,6
Episodic and paroxysmal disorders (G40-G47)
9
280
1,3
Protozoal diseases (B50-B64)
10
183
0,9
Other natural causes
5 268
25,1
Non-natural causes
9 149
43,6
20 969
100,0
All causes *Including deaths due to MDR-TB and XDR-TB.
4.7.6 Leading underlying natural causes of death by province of death occurrence The top ten leading underlying natural causes of death by province of death occurrence are shown in Table 4.10. Deaths that occurred outside South Africa and those where province of death occurrence was not specified in the death notification form are not included in the table. Tuberculosis was the leading cause of death in six of the nine provinces. The exceptions were Western Cape, Northern Cape and Limpopo. Diabetes mellitus was the leading cause of death (accounting for 6,8% deaths) in Western Cape; in Northern Cape it was human immunodeficiency virus [HIV] disease (accounting for 8,5% deaths), while influenza and pneumonia was the leading cause of death in Limpopo (accounting for 8,2% deaths). The highest proportion of deaths due to tuberculosis was recorded in KwaZulu-Natal with 11,2% deaths in the province, followed by Mpumalanga with 9,8% deaths. Western Cape (5,6%) had the lowest proportion of deaths due to tuberculosis. For Northern Cape and Limpopo, the second leading underlying cause of death was tuberculosis, accounting for 7,4% deaths in each province. Human immunodeficiency virus [HIV] disease was the second leading underlying cause of death in Western Cape (5,8%), Eastern Cape (5,8%) and Mpumalanga (6,0%), while it was the third leading underlying cause of death in KwaZulu-Natal (6,2%). Malignant neoplasms of respiratory and intrathoracic organs was in the top ten leading underlying causes of death for only Western Cape, certain disorders involving the immune mechanism for only Mpumalanga, while renal failure was in the top ten leading causes for only Limpopo. There were six underlying causes of death that were common for all nine provinces. These were diabetes mellitus, human immunodeficiency virus [HIV] disease, cerebrovascular diseases, tuberculosis, hypertensive disease, and other forms of heart disease. However, the ranks of these causes differed widely across the provinces. For example, while human immunodeficiency virus [HIV] disease was the leading cause of death in Mortality and causes of death in South Africa, 2014: Findings from death notification
Statistics South Africa
38
P0309.3
Northern Cape (contributing 8,5% of all deaths in this province), it was the second leading cause in Western Cape (contributing 5,8% of all deaths in the province) and the ninth leading cause of death in Limpopo (contributing 2,9% of all deaths in the province). Western Cape was also the only province where influenza and pneumonia was not in the ten leading causes of death. Ischaemic heart diseases featured in four provinces, namely Western Cape, Northern Cape, KwaZuluNatal and Gauteng. Malignant neoplasms of digestive organs were in the top ten only in two provinces (Western Cape and Eastern Cape), while intestinal infectious diseases were not among the leading causes of death only in Western Cape, Eastern Cape and Gauteng. According to the Global Burden of Disease, six of the nine provinces had five communicable diseases among the ten underlying causes of death in each province. For Mpumalanga and North West, six of the ten leading causes of death were communicable diseases, while for Western Cape; seven of the ten underlying causes of death were non-communicable diseases. Detailed information on the distribution of the ten leading underlying causes by provinces, sex and age is provided in Appendices M to M9 (see pages 91−110).
Mortality and causes of death in South Africa, 2014: Findings from death notification
39
…
…
44 020
100,0
13,7
…
…
…
6 031
…
…
…
…
…
…
…
36,3
…
…
3,1
…
1 361
10
3,8
4,4
15 974
1 673
9
1 930
8
4,5
4,6
5,6
5,6
5,7
5,8
6,8
%
…
…
…
9
8
4
7
…
10
6
…
1
3
2
5
Rank
66 553
7 243
29 897
…
…
…
1 699
2 057
3 043
2 353
…
1 598
2 569
…
5 985
3 281
3 857
2 971
No.
Eastern Cape
100,0
10,9
44,9
…
…
…
2,6
3,1
4,6
3,5
…
2,4
3,9
…
9,0
4,9
5,8
4,5
%
…
…
10
…
5
9
4
…
…
6
8
2
3
1
7
Rank
14 056
1 562
5 669
…
…
422
…
630
453
698
…
…
595
490
1 046
721
1 188
582
No.
Northern Cape
100,0
11,1
40,3
…
…
3,0
…
4,5
3,2
5,0
…
…
4,2
3,5
7,4
5,1
8,5
4,1
%
…
…
8
9
2
4
6
…
…
10
…
1
3
7
5
Rank
*Excluding deaths that occurred outside South Africa and deaths with unspecified province of death.
All causes
Hypertensive diseases (I10-I15) Other forms of heart disease (I30I52) Influenza and pneumonia (J09J18) Other viral diseases (B25B34) Intestinal infectious diseases (A00A09) Certain disorders involving the immune mechanism (D80D89) Renal failure (N17N19) Other natural causes Non-natural causes
2 447
1 982
5
2 473
7
4
Ischaemic heart diseases (I20-I25)
2 531
2 045
3
Tuberculosis (A15A19)**
2 567
3 006
No.
Western Cape
6
2
Cerebrovascular diseases (I60-I69)
Chronic lower respiratory diseases (J40-J47) Malignant neoplasms of digestive organs (C15-C26) Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)
1
Human immunodeficiency virus [HIV] disease (B20-B24)
Rank
Diabetes mellitus (E10-E14)
Causes of death (based on ICD-10)
100,0
9,6
42,2
…
…
3,8
3,5
6,8
5,0
4,3
…
…
2,3
…
8,4
5,3
4,1
4,6
%
…
…
8
6
7
5
9
…
…
…
10
1
2
3
4
Rank
79 138
8 347
29 997
…
…
2 815
3 101
2 914
3 812
2 805
…
…
…
1 749
8 863
4 940
4 927
4 868
No.
KwaZulu-Natal
100,0
10,5
37,9
…
…
3,6
3,9
3,7
4,8
3,5
…
…
…
2,2
11,2
6,2
6,2
6,2
%
…
…
7
9
3
2
4
…
…
10
…
1
5
6
8
Rank
100,0
8,2
42,7
…
…
4,2
3,5
5,6
6,0
5,4
…
…
2,4
…
8,9
4,8
4,4
3,9
%
…
…
…
9
2
3
6
…
…
10
8
1
4
7
5
Rank
96 736
10 425
47 250
…
…
…
2 488
5 358
5 323
3 269
…
…
2 266
2 753
6 517
4 073
2 980
4 034
No.
Gauteng
… Category not in top ten.
34 933
2 872
14 931
…
…
1 466
1 227
1 950
2 098
1 890
…
…
824
…
3 112
1 669
1 527
1 367
No.
North West
100,0
10,8
48,8
…
…
…
2,6
5,5
5,5
3,4
…
…
2,3
2,8
6,7
4,2
3,1
4,2
%
…
10
8
7
3
9
6
…
…
…
…
1
4
2
5
Rank
35 002
3 708
13 311
…
851
1 531
1 547
1 958
1 508
1 563
…
…
…
…
3 445
1 822
2 098
1 660
No.
Mpumalanga
100,0
10,6
38,0
…
2,4
4,4
4,4
5,6
4,3
4,5
…
…
…
…
9,8
5,2
6,0
4,7
%
10
…
3
8
1
7
6
…
…
…
…
2
5
9
4
Rank
47 849
3 952
20 319
1 085
…
2 764
1 936
3 911
1 982
2 024
…
…
…
…
3 545
2 237
1 407
2 684
No.
Limpopo
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
**Including deaths due to MDR-TB and XDR-TB.
33 045
3 165
13 950
…
…
1 249
1 169
2 262
1 653
1 423
…
…
775
…
2 785
1 749
1 349
1 516
No.
Free State
Table 4.10: The ten leading underlying natural causes of death in each province of death occurrence, 2014*
Statistics South Africa
100,0
8,3
42,5
2,3
…
5,8
4,0
8,2
4,1
4,2
…
…
…
…
7,4
4,7
2,9
5,6
%
Statistics South Africa
40
P0309.3
4.7.7 Underlying causes of death by district/metropolitan municipality of death occurrence Main group The number and percentage distribution of deaths by main groups of underlying causes of death and district/metropolitan municipalities for 2014 are provided in Appendices N to N2 and Appendices O to O2 respectively. The main groups have been re-grouped into 11 groups with the main groups mental and behavioural disorders, diseases of the eye and adnexa, diseases of the ear and mastoid process, disease of the skin and subcutaneous tissue, disease of musculoskeletal system, diseases of the genitourinary system, congenital malformations, symptoms and signs not elsewhere classified and pregnancy, childbirth and puerperium grouped into other natural causes to facilitate analysis at this level of geography. Appendices N to N.2 (see pages 111−113) provide the number of deaths by main groups for each district/metropolitan municipality of death occurrence, while Appendices O to O.2 (see pages 114−116) show their percentage distribution. Of the 52 districts, certain infectious and parasitic diseases was the major underlying main group in 39 of the 52 districts, while diseases of the circulatory system was prominent for the remaining 13 districts. Diseases of the circulatory system were the leading underlying main group of causes of death for all the districts in the Western Cape, three districts in Gauteng (City of Tshwane, Sedibeng and West Rand), two districts in Free State (Fezile Dabi and Xhariep) and one district in KwaZulu-Natal (Amajuba). KwaZulu-Natal (27,2%) had the highest proportion of deaths due to certain infectious and parasitic diseases and Western Cape (15,7%) had the lowest. Deaths due to certain infectious and parasitic diseases in KwaZulu-Natal were more than a quarter (25%) in eight of the eleven districts, with uMkhanyakude (34,3%) having the highest proportion of deaths due to this cause. Overberg (10,0%) in Western Cape had the lowest proportion of deaths caused by certain infectious and parasitic diseases. All the districts in North West and Mpumalanga had certain infectious and parasitic diseases as the most common main group of cause of death. For districts where certain infectious and parasitic diseases appeared as the most common underlying main group of causes, diseases of the circulatory system was the second most common underlying main group of causes and vice versa. The exceptions were City of Cape Town, Eden, and Overberg all in the Western Cape; Namakwa in the Northern Cape and Greater Sekhukhune in Limpopo. For City of Cape Town, Eden, Overberg and Namakwa, neoplasms were the second common main group of diseases, while diseases of the respiratory system and diseases of the circulatory system were the second most common groups of diseases. Broad groups Appendices P to P8 (see pages 117−127) present the ranking of the ten leading natural causes of death by district/metropolitan municipality of death occurrence. Tuberculosis was the leading underlying cause of death in 40 of the 52 district/metropolitan municipalities in South Africa. It was the leading cause of death for all districts in Eastern Cape, KwaZulu-Natal and Mpumalanga provinces. For Western Cape, tuberculosis was the leading cause of death for only Central Karoo and West Coast, whereas for Northern Cape it was the leading cause of death for Pixley ka Seme and Siyanda district municipalities. In Limpopo, tuberculosis was the leading underlying cause of death for three districts, namely Mopani, Vhembe and Waterberg. With regard to Free State, North West and Gauteng, tuberculosis was the leading cause in all the districts of the respective provinces except Lejweleputswa in Free State, Ngaka Modiri Molema in North West and West Rand in Gauteng. For the other districts where tuberculosis was not the leading underlying cause of death, HIV disease was the leading underlying cause of death in three districts, namely Cape Winelands in Western Cape, and Francis Baard and John Taolo Gaetsewe, both in Northern Cape. Influenza and pneumonia was the leading underlying cause of death in four districts, namely Lejweleputswa in Free State, West Rand in Gauteng, and Capricorn and Greater Sekhukhune, both in Limpopo. Diabetes mellitus was the leading underlying cause of death for Nelson Mandela Bay in Eastern Cape and the City of Cape Town in Western Cape. Ischaemic heart diseases and chronic lower respiratory diseases were jointly the leading underlying causes of death, accounting for 9,4% deaths each. Cerebrovascular diseases was the leading underlying cause of death for Eden (Western Cape). Ischaemic heart diseases was the leading underlying cause of death in Overberg in Cape Town and in Namakwa in Northern Mortality and causes of death in South Africa, 2014: Findings from death notification
Statistics South Africa
41
P0309.3
Cape. Other forms of heart disease were the leading cause of death in only one district-Ngaka Modiri Molemo in North West. HIV disease was part of the ten leading causes of death for all districts in Eastern Cape, KwaZulu-Natal, North West and Mpumalanga. The only districts where HIV disease was not among the ten leading underlying causes of death were Central Karoo and Overberg (both in Western Cape), Ekurhuleni and West Rand in Gauteng, Namakwa in Northern Cape, Greater Sekhukhune, Mopani and Vhembe in Limpopo, and Fezile Dabi in Free State. The district with the highest percentage of deaths (over 10%) due to HIV disease was John Taolo Gaetsewe in Northern Cape (17,5%).
4.7.8 Underlying natural causes of death by population group Due to a large proportion of unknown or unspecified cases, the ten leading underlying natural causes of death by population group are not discussed in this section. The discussion and distribution of underlying causes of death by population group are provided in Appendices Q and Q.1 (see pages 128−129), respectively.
4.8 Non-natural causes of death This subsection discusses non-natural causes of death based on all external causes of morbidity and mortality derived from the causes of death specified on the death notification forms. Non-natural causes of death are chapter 20 (V01-Y98) of ICD-10 and number 19 in Table 4.3. External causes of morbidity and mortality are treated as non-natural causes. More than a tenth (10,5%) of all deaths that occurred in 2014 were due to external causes of morbidity and mortality (refer to Table 4.3). Table 4.11 shows the broad groups of non-natural causes as a proportion of nonnatural deaths as well as all 2014 deaths. The majority of non-natural causes of death resulted from other external causes of accidental injury (54,6% of non-natural causes and 5,7% of all causes). Event of undetermined intent (an ill-defined group of non-natural causes of death) was the second most common non-natural cause of death and accounted for 17,1% of non-natural causes and 1,8% of all causes of death. Essentially, nearly three quarters of non-natural causes of deaths were not adequately stated to allocate them as transport accidents, assault, complications of medical and surgical care, intentional self-harm or sequelae of external causes of morbidity and mortality. This clearly indicates that the interpretation of results of non-natural causes must be treated with caution given this high percentage of misclassified causes of death. The quality of information on causes of death depends heavily on the diligence of certifying officials, who also depend on availability of information to assist them in completing death notification forms accurately. In the absence of medical records at the time of death; dead on arrival cases; and lack of sufficient details to indicate the manner of death at the time of registration (i.e. accident, suicide and homicide), it may be difficult for certifying officials to assign causes of death. Furthermore, certifying officials may ignorantly fail to provide sufficient details required to code the causes of death appropriately. For example, there are a number of cases where a cause of death is specified as multiple injuries, without indication of what causes such injuries, be it transport accident, suicide or homicide. Where insufficient details are provided to code the non-natural cause of death accurately, Stats SA codes such deaths as other external causes of accidental injury or event of undetermined intent in line with the recommendations of WHO in classifying unknown non-natural causes of death (WHO, 2009b). As such, the unexpected lower number of deaths due to transport accidents, assault, complications of medical and surgical care, intentional self-harm or sequelae of external causes of morbidity and mortality are as a result of causes misclassified as other external causes of accidental injury or event of undetermined intent. Of the properly defined non-natural causes of death, the most common was transport accidents (12,4%), followed by assault (11,1%). Complications of medical and surgical care, intentional self-harm and sequelae of external causes of morbidity and mortality each accounted for less than 5% of non-natural causes of death.
Mortality and causes of death in South Africa, 2014: Findings from death notification
Statistics South Africa
P0309.3
42
Table 4.11: Distribution of non-natural causes of death by broad groups, 2014 Number
Percentage of nonnatural causes
Percentage of all causes (N = 453 360)
26 056
54,6
5,7
Event of undetermined intent (Y10-Y34)
8 176
17,1
1,8
Transport accidents (V01-V99)
5 926
12,4
1,3
Assault (X85-Y09)
5 314
11,1
1,2
Complications of medical and surgical care (Y40-Y84)
1 660
3,5
0,4
585
1,2
0,1
44
0,1
0,0
47 761
100,0
Causes of death (based on ICD-10, 1992) Other external causes of accidental injury (W00-X59)
Intentional self-harm (X60-X84) Sequelae of external causes of morbidity and mortality (Y85-Y89) Total
Since the broad group, other external causes of accidental injury, comprised more than half of all non-natural deaths, breaking down deaths due to external causes of accidental injury was considered necessary in order to provide information that can be used to better understand deaths due to this cause. The breakdown of deaths due to external causes of accidental injury is presented in Table 4.12. More than forty per cent of the deaths (41,4%) were due to accidental exposure to other and unspecified factors. This includes exposure to other specified factors as well as exposure to unspecified factors causing fracture or injury. Exposure to inanimate mechanical forces was the second most common cause of death, accounting for 19,2% of deaths in this group. Exposure to inanimate mechanical forces includes, among others, handgun discharge. Deaths due to other accidental threats to breathing came third, comprising 17,9% of deaths. Table 4.12: Distribution of deaths due to other external causes of accidental injury, 2014 Cause of death (based on ICD-10) Accidental exposure to other and unspecified factors (X58-X59)
Number
Percentage
10 778
41,4
Exposure to inanimate mechanical forces (W20-W49)
4 990
19,2
Other accidental threats to breathing (W75-W84)
4 676
17,9
Exposure to smoke, fire and flames (X00-X09)
2 299
8,8
Accidental drowning and submersion (W65-W74)
1 579
6,1
Accidental poisoning by and exposure to noxious substances (X40-X49)
864
3,3
Exposure to electric current, radiation and extreme ambient air temperature and pressure (W85-W99)
325
1,2
Exposure to forces of nature (X30-X39)
261
1,0
Falls (W00-W19)
183
0,7
Contact with venomous animals and plants (X20-X29)
49
0,2
Exposure to animate mechanical forces (W50-W64)
32
0,1
Overexertion, travel and privation (X50-X57)
11
0,0
9
0,0
26 056
100,0
Contact with heat and hot substances (X10-X19) Total
4.8.1 Non-natural causes of death by age and sex This subsection looks at the distribution of non-natural causes of death by sex and broad age groups (0, 1–14, 15–29, 30–44, 45–64 and 65+). Age group 15–44 has been divided into two age groups (15–29 and 30–44) as recommended by the WHO (1992). Table 4.13 shows the distribution of non-natural causes of death by sex and broad age groups for deaths that occurred in 2014. The age group mostly affected by non-natural causes of death was age group 15–29 years for both sexes, accounting for 36,7% of all non-natural deaths. Mortality and causes of death in South Africa, 2014: Findings from death notification
Statistics South Africa
43
P0309.3
Differences by sex show that males had three times higher the proportion of deaths due to non-natural causes (15,3%) as compared to females (5,1%). Furthermore, for each of the age groups (with the exception of infants [age 0]), males had higher proportions of deaths due to non-natural causes than females, with the gap much wider at age group 15–29 years where as much as 55,0% of male deaths resulted from non-natural causes compared to 13,9% of female deaths in the same age group. For both sexes, males and females, other external causes of accidental injury was the leading non-natural cause of death for all age groups. The second most common non-natural cause of death amongst males was event of undetermined intent for all age groups, except for those aged 1–14 years. The same was true for females with the exception of age group 45–64 years. Transport accidents was the second most common non-natural cause of death for males aged 1–14 years and females aged 45–64 years. The third most common non-natural cause was assault for males but was the fifth most common non-natural cause of death amongst females. Assault was more common for males aged 15–29 years, affecting 19,7% of non-natural deaths in this age group. Excluding deaths due to other external causes of accidental injury and event of undetermined intent, female deaths were mostly linked to transport accidents and complications of medical and surgical care. These causes accounted for 13,7% and 7,9% of deaths respectively. For males, the most common non-natural cause of death was assault (12,9%), followed by transport accidents (12,1%). For each of the sexes, intentional self-harm and sequelae of external causes of morbidity and mortality were very rare.
Mortality and causes of death in South Africa, 2014: Findings from death notification
44
11 618
All causes
6 678
5 331
1 347
1 347
0
20
223
20
4
873
207
8 099
5 915
2 184
2 184
1
28
280
38
4
1 488
345
14 777
11 246
3 531
3 531
1
48
503
58
8
2 361
552
1−14
19 473
16 770
2 703
2 703
0
73
565
238
71
1 340
416
24 336
10 960
13 376
13 376
4
68
2 473
2 641
210
6 544
1 436
43 809
27 730
16 079
16 079
4
141
3 038
2 879
281
7 884
1 852
15−29
38 007
35 727
2 280
2 280
3
105
398
179
23
1 194
378
51 180
39 730
11 450
11 450
5
105
2 154
1 434
152
6 121
1 479
89 187
75 457
13 730
13 730
8
210
2 552
1 613
175
7 315
1 857
30−44
Number
52 922
50 742
2 180
2 180
2
274
310
91
19
1 135
349
74 214
67 736
6 478
6 478
17
250
1 099
462
77
3 665
908
127 136
118 478
8 658
8 658
19
524
1 409
553
96
4 800
1 257
45−64
*Excluding cases with unspecified age; **Excluding cases with unspecified age; *** Excluding cases with unspecified age.
11 205
Natural causes
413 413
Non-natural causes
0
Sequelae of external causes of morbidity and mortality (Y85-Y89)
Subtotal
26 18
Complications of medical and surgical care (Y40-Y84)
7
Assault (X85-Y09)
Event of undetermined intent (Y10-Y34)
0
344
Intentional self-harm (X60-X84)
Other external causes of accidental injury (W00-X59)
Transport accidents (V01-V99)
18
13 529
All causes
Females*
13 063
Natural causes
466 466
Non-natural causes
0
Sequelae of external causes of morbidity and mortality (Y85-Y89)
Subtotal
23 24
Complications of medical and surgical care (Y40-Y84)
7
Event of undetermined intent (Y10-Y34)
0
Assault (X85-Y09)
396
Intentional self-harm (X60-X84)
Other external causes of accidental injury (W00-X59)
Transport accidents (V01-V99)
16
25 147
All causes
Males*
24 268
Natural causes
879 879
Sequelae of external causes of morbidity and mortality (Y85-Y89)
Non-natural causes
0
Complications of medical and surgical care (Y40-Y84)
Subtotal
49 42
Event of undetermined intent (Y10-Y34)
0 14
Assault (X85-Y09)
740
34
0
Intentional self-harm (X60-X84)
Other external causes of accidental injury (W00-X59)
Both sexes* Transport accidents (V01-V99)
Causes of death based on ICD-10
Table 4.13: Underlying non-natural causes of death by age group and sex, 2014
Statistics South Africa
214 629
203 641
10 988
10 988
13
863
1 678
599
122
6 211
1 502
235 986
199 911
36 075
36 075
31
788
6 299
4 650
459
19 480
4 368
450 615
403 552
47 063
47 063
44
1 651
7 977
5 249
581
25 691
5 870
Total
100,0
96,4
3,6
100,0
0,0
4,4
6,3
1,7
0,0
83,3
4,4
100,0
96,6
3,4
100,0
0,0
5,2
4,9
1,5
0,0
85,0
3,4
100,0
96,5
3,5
100,0
0,0
4,8
5,6
1,6
0,0
84,2
3,9
0
100,0
79,8
20,2
100,0
0,0
1,5
16,6
1,5
0,3
64,8
15,4
100,0
73,0
27,0
100,0
0,0
1,3
12,8
1,7
0,2
68,1
15,8
100,0
76,1
23,9
100,0
0,0
1,4
14,2
1,6
0,2
66,9
15,6
1−14
100,0
86,1
13,9
100,0
0,0
2,7
20,9
8,8
2,6
49,6
15,4
100,0
45,0
55,0
100,0
0,0
0,5
18,5
19,7
1,6
48,9
10,7
100,0
63,3
36,7
100,0
0,0
0,9
18,9
17,9
1,7
49,0
11,5
15−29
100,0
94,0
6,0
100,0
0,1
4,6
17,5
7,9
1,0
52,4
16,6
100,0
77,6
22,4
100,0
0,0
0,9
18,8
12,5
1,3
53,5
12,9
100,0
84,6
15,4
100,0
0,1
1,5
18,6
11,7
1,3
53,3
13,5
30−44
Percentage
100,0
95,9
4,1
100,0
0,1
12,6
14,2
4,2
0,9
52,1
16,0
100,0
91,3
8,7
100,0
0,3
3,9
17,0
7,1
1,2
56,6
14,0
100,0
93,2
6,8
100,0
0,2
6,1
16,3
6,4
1,1
55,4
14,5
45−64
100,0
97,6
2,4
100,0
0,4
18,1
7,6
3,1
0,2
64,2
6,5
100,0
96,7
3,3
100,0
0,2
14,8
12,7
3,2
0,8
59,7
8,7
100,0
97,2
2,8
100,0
0,3
16,4
10,2
3,2
0,5
61,9
7,6
65+
100,0
94,9
5,1
100,0
0,1
7,9
15,3
5,5
1,1
56,5
13,7
100,0
84,7
15,3
100,0
0,1
2,2
17,5
12,9
1,3
54,0
12,1
100,0
89,6
10,4
100,0
0,1
3,5
16,9
11,2
1,2
54,6
12,5
Total
Mortality and causes of death in South Africa, 2014: Findings from death notification
85 931
83 866
2 065
2 065
8
373
156
64
5
1 325
134
64 628
62 507
2 121
2 121
4
313
270
68
16
1 266
184
150 559
146 373
4 186
4 186
12
686
426
132
21
2 591
318
65+
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Statistics South Africa
45
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4.8.2 Non-natural causes of death by province of death occurrence The distribution of the underlying non-natural causes of death by province for 2014 is shown in Table 4.14. Western Cape had the highest proportion of deaths due to non-natural causes (13,7%), followed by Northern Cape (11,1%). The lowest proportions of deaths due to non-natural causes were observed in North West (8,2%) and Limpopo (8,3%). In other provinces (i.e. Eastern Cape, KwaZulu-Natal, Gauteng and Mpumalanga) nonnatural causes of death ranged from 10,5% to 10,9%. The most common causes of non-natural deaths in all provinces were other external causes of accidental injury, although their proportions varied by province. Mpumalanga (70,4%) had the highest proportion of deaths due to external and other causes of accidental injury and North West (45,6%) had the lowest proportion of non-natural deaths due to this cause. The second leading non-natural causes of deaths differed by province. Assault was the second most common cause only in Western Cape where 19,5% of deaths were due to this cause. Event of undetermined intent was the second leading cause of death in Eastern Cape, KwaZulu-Natal, North West and Gauteng, while transport accidents was the second leading cause of death in Northern Cape, Free State, Mpumalanga and Limpopo. The proportion of deaths due to transport accidents was highest in Northern Cape, and responsible for 30,3% deaths in the province, followed by Limpopo (29,5%). However, Limpopo had the highest number of transport accident deaths, with 1 164 deaths as compared to 474 for Northern Cape. Complications of medical and surgical care, intentional self-harm and sequelae of external causes of morbidity and mortality were least common, each affecting about 5% or less of non-natural deaths in each province except for Northern Cape and Gauteng, where 5,4% of non-natural deaths were due to intentional self-harm in Northern Cape and 5,3% of non-natural deaths were due to complications of medical and surgical care in Gauteng.
4.8.3 Non-natural causes of death by district municipalities The information provided in Appendices O to O2 also shows the proportion of deaths due to non-natural causes for each of the district municipalities. Non-natural causes of death are on the column labelled external causes of morbidity and mortality (V01-Y98). The highest proportion of deaths due to non-natural causes was observed in the City of Cape Town (14,9%) and Central Karoo (14,0%), both in Western Cape. The lowest percentage of deaths due to non-natural causes was observed in Dr Ruth Segomotsi Mompati in North West (6,1%) and Ngaka Modiri Molema in North West (6,7%). Non-natural causes of death were less than 10% in all districts for only North West and Limpopo.
Mortality and causes of death in South Africa, 2014: Findings from death notification
44 020
Total
100,0
86,3
13,7
100,0
0,2
4,5
12,5
19,5
1,1
53,6
8,7
%
66 553
59 310
7 243
7 243
7
187
1 303
1 256
44
3 526
920
Number
%
100,0
89,1
10,9
100,0
0,1
2,6
18,0
17,3
0,6
48,7
12,7
Eastern Cape
14 056
12 494
1 562
1 562
0
46
70
341
84
547
474
Number
100,0
88,9
11,1
100,0
0,0
2,9
4,5
21,8
5,4
35,0
30,3
%
Northern Cape
33 045
29 880
3 165
3 165
0
107
254
487
20
1 723
574
Number
%
46
100,0
90,4
9,6
100,0
0,0
3,4
8,0
15,4
0,6
54,4
18,1
Free State
*Excluding deaths that occurred outside South Africa and deaths with unspecified province of death
37 989
Natural causes
6 031
Non-natural
13
Sequelae of external causes of morbidity and mortality (Y85-Y89)
6 031
270
Complications of medical and surgical care (Y40Y84)
Subtotal
752
1 177
Event of undetermined intent (Y10-Y34)
Assault (X85-Y09)
66
3 231
Other external causes of accidental injury (W00-X59)
Intentional self-harm (X60X84)
522
Number
Transport accidents (V01V99)
Causes of death (based on ICD-10)
Western Cape
Table 4.14: Underlying non-natural causes of death by province, 2014
Statistics South Africa
79 138
70 791
8 347
8 347
3
283
1 280
869
227
4 672
1 013
Number
34 933
32 061
2 872
2 872
1
057
785
262
51
1 309
407
Number
%
100,0
91,8
8,2
100,0
0,0
2,0
27,3
9,1
1,8
45,6
14,2
North West
96 736
86 311
10 425
10 425
16
552
2 789
536
26
6 142
364
Number
0,2
5,3
26,8
5,1
0,2
58,9
3,5
%
100,0
89,2
10,8
100,0
Gauteng
35 002
31 294
3 708
3 708
2
076
394
160
45
2 610
421
Number
%
100,0
89,4
10,6
100,0
0,1
2,0
10,6
4,3
1,2
70,4
11,4
Mpumalanga
47 849
43 897
3 952
3 952
2
078
486
200
19
2 003
1 164
Number
0,1
2,0
12,3
5,1
0,5
50,7
29,5
%
100,0
91,7
8,3
100,0
Limpopo
Mortality and causes of death in South Africa, 2014: Findings from death notification
100,0
89,5
10,5
100,0
0,0
3,4
15,3
10,4
2,7
56,0
12,1
%
KwaZulu-Natal
P0309.3
Statistics South Africa
P0309.3
47
4.9 Comparison between immediate, contributing and underlying causes of death This section provides information on the total number of causes of death reported on each form. Section G of both death notification forms (BI-1663 and DHA-1663) makes provision for several causes to be reported on the form (see Appendix B and Appendix B1). A maximum number of six causes can be recorded on the death notification form. These causes are recorded as immediate, contributing or underlying causes of death. As noted in Table 4.1, most of the death notification forms for 2014 deaths (53,7%) had just one cause of death indicated. This was followed by 26,6% of forms which recorded two causes of death. Table 4.15 shows the total number of times a specific cause of death was recorded on the 2014 death notification forms, be it an immediate, contributing or underlying cause for the 20 most commonly reported causes of death. The underlying causes of death were grouped according to the different broad groups. These 20 causes of death include natural and non-natural causes, as well as deaths due to symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified. Tuberculosis was the most frequently recorded cause of death in 2014, mentioned in a total of 54 644 death notification forms. This means that 12,1% of all death notification forms had tuberculosis recorded as either immediate, contributing or underlying cause of death. The second and third most mentioned causes were other forms of heart diseases and ill-defined and unknown causes of mortality, representing 11,4% and 11,3% of deaths, respectively. Hypertensive diseases was the fourth most frequently cited cause of death in 2014 and was mentioned in 10,6% of the forms. Other external causes of accidental injury was the seventh most frequently stated cause (6,0%) and the only non-natural cause appearing among the twenty most commonly stated causes of death. Table 4.15: Distribution of the 20 most commonly reported causes of death, 2014 Rank
Causes of death (based on ICD-10)
Number of deaths in which the causes was reported
Percentage of all deaths
1
Tuberculosis (A15-A19)*
54 644
12,1
2
Other forms of heart disease (I30-I52)
51 577
11,4
3
Ill-defined and unknown causes of mortality (R95-R99)
51 352
11,3
4
Hypertensive diseases (I10-I15)
48 138
10,6
5
Influenza and pneumonia (J09-J18)
44 996
9,9
6
Cerebrovascular diseases (I60-I69)
33 481
7,4
7
Other external causes of accidental injury (W00-X59)
27 374
6,0
8
Diabetes mellitus (E10-E14)
26 289
5,8
9
Other viral diseases (B25-B34)
25 921
5,7
10
Renal failure (N17-N19)
24 606
5,4
11
Other bacterial diseases (A30-A49)
24 057
5,3
12
Human immunodeficiency virus [HIV] disease (B20-B24)
22 866
5,0
13
Intestinal infectious diseases (A00-A09)
20 469
4,5
14
Chronic lower respiratory diseases (J40-J47)
17 998
4,0
15
Metabolic disorders (E70-E90)
17 863
3,9
16
Ischaemic heart diseases (I20-I25)
17 438
3,8
17
16 754
3,7
14 347
3,2
19
Other diseases of the respiratory system (J95-J99) Certain disorders involving the immune mechanism (D80-D89) Malignant neoplasm of ill-defined, secondary and unspecified sites (C76-C80)
12 426
2,7
20
Other acute lower respiratory infections (J20-J22)
11 338
2,5
18
Mortality and causes of death in South Africa, 2014: Findings from death notification
Statistics South Africa
P0309.3
48
All the natural underlying causes of death that appeared among the ten leading causes of death also appeared among the 20 most commonly mentioned causes. The ten leading underlying natural causes of death shown in Table 4.5 for 2014 deaths are presented in Table 4.16 to show the breakdown of the number of deaths by whether the death was selected as the underlying cause or whether it was reported as the immediate or contributing cause. Within each category, the counts of underlying causes and immediate or contributing causes are not duplicated, so that they can be summed up to equal the total number of times a specific cause of death was recorded on a death notification form. For example, 12 096 death notification forms had chronic lower respiratory diseases as the underlying cause and another 5 902 deaths had it as an immediate or contributing cause. These give a total of 17 998 death notification forms that had chronic lower respiratory diseases mentioned on them. According to ICD-10 coding practices, a cause of death cannot be entered more than once in one death notification form. The percentage column in Table 4.16 shows the percentage distribution of whether a specific cause was stated as an underlying, immediate or contributing cause. Where human immunodeficiency virus [HIV] disease was reported on the form, it was selected as an underlying cause in 95,9% of the forms; diabetes mellitus was selected as the underlying cause in 86,5% of the forms. Tuberculosis was attributed as an underlying cause in 69,3% of the forms while cerebrovascular diseases was selected as an underlying cause in 69,0% of the forms in which it appeared. The causes of death which, when mentioned, were least selected as the underlying causes, were other forms of heart diseases (41,4%) and hypertensive diseases (36,9%). Table 4.16: Number and percentage of deaths selected as underlying or reported as immediate or contributing causes of death, 2014 Number of deaths
Percentage of any mention
Causes of death (ICD-10)
Underlying rank
Tuberculosis (A15-A19)**
1
37 878
16 766
54 644
69,3
30,7
100,0
Cerebrovascular diseases (I60-I69)
2
23 088
10 393
33 481
69,0
31,0
100,0
Diabetes mellitus (E10-E14)
3
22 747
3 542
26 289
86,5
13,5
100,0
Influenza and pneumonia (J09-J18)
4
22 035
22 961
44 996
49,0
51,0
100,0
5
21 938
928
22 866
95,9
4,1
100,0
6
21 339
30 238
51 577
41,4
58,6
100,0
Human immunodeficiency virus [HIV] disease (B20-B24) Other forms of heart disease (I30I52)
Underlying
Immediate Immediate Total Total Underlying or or recorded recorded contributing contributing
Hypertensive diseases (I10-I15) Intestinal infectious diseases (A00A09)
7
17 770
30 368
48 138
36,9
63,1
100,0
8
14 472
5 997
20 469
70,7
29,3
100,0
Other viral diseases (B25-B34)
9
13 996
11 925
25 921
54,0
46,0
100,0
Chronic lower respiratory diseases (J40-J47)
10
12 096
5 902
17 998
67,2
32,8
100,0
Mortality and causes of death in South Africa, 2014: Findings from death notification
Statistics South Africa
49
P0309.3
5. Summary and concluding remarks The South African government, through the National Development Plan (NDP), identified the need to ensure a long and healthy life for its population by 2030 (National Planning Commission, 2011). The NDP highlights the importance of credible data in informing decentralised prevention and curative measures for communicable diseases, especially tuberculosis and HIV/AIDs, and for the emerging tide of non-communicable diseases as well as injuries and accidents. This statistical release provides information on mortality and causes of death for deaths that occurred in 2014, with some information drawn from death occurrences for the period 1997–2013 to show trends in mortality and causes of death. The information provided equips policymakers with the opportunity to make evidence-based decisions and evaluate progress towards an improved health status of the nation – “leaving no one behind in better health outcomes”. The results generally show that mortality continues to decline in the country as observed since 2007. In total, 453 360 deaths that occurred in 2014 were registered at the Department of Home Affairs (DHA) and processed by Statistics South Africa (Stats SA). This was a decline of 3,2% from the 473 384 registered deaths for 2013. In terms of registration timeliness, in 2014, the majority of the deaths (78,4%) were registered within the three days stipulated by the legislative framework. Median ages at death showed that mortality now occurs later in life, which is an indication of declining premature mortality. The median ages at death for total deaths increased from 42,8 years in 2005 (in which it was the lowest since 1997) to 53,9 years in 2014, reflecting improvement in mortality. In 2014, the median age at death for females was 58,1 years and 51,4 years for males. Further, age and sex differentials indicated that the highest percentage of male deaths occurred amongst those aged 60–64 years, whereas female deaths peaked at age group 80–84 years. In general, there were relatively more male deaths from age zero up to age group 65–69 years, with female deaths exceeding male deaths at older age groups (70 years and above). In 2014, the overall sex ratio at death was 110 male deaths per 100 female deaths. The distribution of deaths by province of death occurrence showed that the highest proportion of deaths (21,3%) occurred in Gauteng province, followed by KwaZulu-Natal (17,0%) and then Eastern Cape (14,8%). The lowest proportion of deaths occurred in Northern Cape (2,9%). Information on causes of death showed that in 2014, the majority of deaths (52,7%) were attributed to noncommunicable diseases. Communicable diseases accounted for 36,8% of deaths, while injuries were responsible for 10,5% of deaths. The analysis of the ten leading causes of death, across all age groups, showed that five of the causes were non-communicable diseases, while the other five were communicable diseases. The distribution of the causes of death further showed that the proportion of deaths attributed to communicable diseases ranged from 21,8% in Western Cape to 44,4% in Limpopo. Deaths in Western Cape were mostly characterised by high non-communicable diseases (64,4%), followed by Gauteng (55,8%) and Eastern Cape (54,0%). Mpumalanga had the lowest proportion of deaths attributed to non-communicable diseases (45,3%), whereas Limpopo had the second lowest (47,3%). With regard to injuries, North West and Limpopo had the lowest proportion of deaths due to injuries, each representing 8,3% of deaths. The other provinces had more than 10% deaths due to injuries, with the maximum observed in Western Cape (13,7%) and Northern Cape (11,2%). When considering the specific causes of death, the first three leading causes of natural deaths in 2014 were tuberculosis, cerebrovascular diseases and diabetes mellitus. Tuberculosis maintained its rank as the number one leading cause of death in South Africa with 8,4% deaths, although deaths due to tuberculosis decreased annually in the recent years. Cerebrovascular diseases was ranked fourth in 2013 and moved two positions up in 2014, while diabetes mellitus moved from fifth rank in 2013 to third in 2014. Influenza and pneumonia moved two positions down from second rank in 2013 to fourth rank in 2014, and HIV diseases moved two ranks down to fifth position from third in 2013. The proportion of deaths due to HIV diseases and influenza and pneumonia in 2014 was 4,8% and 4,9%, respectively. With regard to sex differentials, tuberculosis (9,5%) and influenza and pneumonia (4,7%) were ranked first and second respectively amongst the ten leading causes of death for males, while for females, tuberculosis (7,1%) was the leading underlying cause of death, followed by diabetes mellitus (6,4%). The third leading underlying cause of death for females was cerebrovascular diseases (6,1%), while for males, HIV diseases (4,7%) was Mortality and causes of death in South Africa, 2014: Findings from death notification
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ranked third. It was the first time that malignant neoplasms of female genital organs was amongst the top ten leading causes of death for females and was ranked tenth, responsible for 2,5% of female deaths. It was also for the first time that cerebrovascular diseases was the second leading underlying cause of death in South Africa. Age differentials show that respiratory and cardiovascular disorders specific to the perinatal period was the leading cause of death amongst infants, and was responsible for 14,5% infant deaths, followed by intestinal infectious diseases as the second leading underlying cause of death and responsible for 12,9% infant deaths. Intestinal infectious diseases was ranked as the first leading cause of death amongst those aged 1–14 years, responsible for 12,2% of deaths in this age group. Tuberculosis was ranked the first leading cause of death for adults (both age groups 15–44 and 45–64 years) whilst for those aged 65 years and older, cerebrovascular diseases was the leading cause of death. Diabetes mellitus, HIV diseases, cerebrovascular diseases, tuberculosis, hypertensive diseases and other forms of heart disease were common leading causes of death in all the provinces, although the proportion of deaths and rankings differed greatly by province. Tuberculosis was the leading cause of death in six of the nine provinces. KwaZulu-Natal had the highest proportion of deaths due to tuberculosis and Western Cape had the lowest proportion of deaths due to this cause. The leading cause of death in Western Cape was diabetes mellitus, and influenza and pneumonia was the leading cause in Limpopo. The 2014 data showed that over 10% of deaths were due to non-natural causes, mainly affecting age group 15–29 years. Furthermore, the number of male deaths due to non-natural causes was more than three times the number of female deaths due to non-natural causes. Most non-natural causes resulted from other external causes of accidental injury. Transport accidents and assault contributed 12,5% and 11,2% of all non-natural causes of death respectively. The distribution of the underlying non-natural causes of death by province for 2014 showed that Western Cape had the highest proportion of deaths due to non-natural causes, followed by Northern Cape and Gauteng. The lowest proportions of deaths due to non-natural causes were observed in Free State, North West and Limpopo. Data on causes of death rely heavily on the quality of the input data, thus efforts in improving the quality of completing section G of the death notification form cannot be emphasised enough. There has been a slight improvement in recording the cause of death, and this is evident from the constant decline in the proportion of causes of death assigned to symptoms, signs and abnormal clinical and laboratory findings not elsewhere classified. There were 12,5% deaths assigned to this main group in 2014.
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6. References Bennett, N.G. & Horiuchi, S. 1981. Estimating the Completeness of Death Registration in a Closed Population. Population Index, 47(2): 207–21. Bennett, N.G. & Horiuchi, S. 1984. Mortality estimation from registered deaths in less developed countries, Demography, 21(2): 217–234. Department of Health, 2014. The national health promotion policy and strategy, 2015–2019. Pretoria: Government of South Africa. Hill, K. 1987. Estimating Census and Death Registration Completeness, Asian and Pacific Population Forum, 1(3): 8–13, 23–24. Mahapatra, P., Shibuya, K., Lopez, A., Coullare, F., Notzon, F.C. & Szreter, S. On behalf of the Monitoring Vital Events (MoVE) writing group, 2007. Civil registration systems and vital statistics: successes and missed opportunities, The Lancet, 370 (10): 1653–1663. National Planning Commission, 2011. National Development Plan. Pretoria: The Presidency. Republic of South Africa, 1959. Inquests Act, 1959 (Act No. 58 of 1959). Pretoria: Government of South Africa. Republic of South Africa, 1992. Births and Deaths Registration Act, 1992 (Act No. 51 of 1992). Pretoria: Government of South Africa. Republic of South Africa, 2010. Births and Deaths Registration Amendment Act, 2010 (Act No. 18 of 2010). Pretoria: Government of South Africa. Republic of South Africa, 2014. Regulations on the Registration of Births and Deaths (Government Notice No. 37373). Pretoria: Government of South Africa. Republic of South Africa, 2015. National Public Health Institute of South Africa Bill (Government Notice No. 39392). Pretoria: Government of South Africa. Stats SA (Statistics South Africa), 2014. Mortality and causes of death in South Africa, 2011: findings from death notification form. Pretoria: Statistics South Africa. UN (United Nations), 2014. Principles and recommendations for a vital statistics system, Third Revision. Department of economic and social affairs: United Nations publication. WHO (World Health Organization) 1992. International classification of diseases and related health problems, Tenth Revision. Geneva: World Health Organization. WHO (World Health Organization), 2009a. International classification of diseases and related health problems, Tenth Revision. Volume 1, 2008 Edition. Geneva: World Health Organization. WHO (World Health Organization), 2009b. International classification of diseases and related health problems, Tenth Revision. Volume 2, 2008 Edition. Geneva: World Health Organization. WHO (World Health Organization), 2013. Strengthening civil registration and vital statistics for births, deaths and causes of death. Resource Kit, WHO, Geneva, Switzerland. WHO (World Health Organization), 2014a. Analysing mortality levels and causes-of-death (ANACoD) Electronic Tool, Version 2.0. Department of Health Statistics and Information Systems, WHO, Geneva, Switzerland.
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WHO (World Health Organization), 2014b. Performing routine basic checks on compiling cause-of-death data (CoDEdit) Electronic Tool, Version 1.0. Department of Health Statistics and Information Systems, WHO, Geneva, Switzerland.
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Appendices Appendix A: Definitions Causes of death are all those diseases, morbid conditions, or injuries that either resulted in or contributed to death, and the circumstances of the accident or violence which produced any such injuries. Contributing causes of death are morbid conditions, if any, giving rise to the immediate cause of death. Death is a permanent disappearance of all evidence of life at any time after a live birth has taken place. Human immunodeficiency virus (HIV) is the pathogenic organism responsible for the acquired immunodeficiency syndrome (AIDS), also known as the lymphadenopathy virus (LAV). Immediate cause of death is the disease or condition directly leading to death. Leading underlying causes of death are the most frequent underlying causes of death in any given population. In this release, the underlying causes of death are ranked according to frequency. Live birth in relation to a child, means the birth of a child born alive. Multiple causes of death are all morbid conditions, diseases and injuries entered on the death certificate. These include those involved in the morbid train of events leading to the death which were classified as either the underlying cause, the intermediate cause, or any intervening cause and those conditions which contributed to death but were not related to the disease or condition causing death. Neonatal death is the death of a live-born child during the first 28 completed days of life. Perinatal deaths are a combination of stillbirths and infants who die in the first week after birth (early neonatal deaths) Post-neonatal death is a live-born infant dying after 28 completed days of birth but before the first year of life is completed. Population group: According to the Population Registration Act Repeal Act (No. 114 of 1991), the South African Population Register no longer stores information regarding the population group of individuals whose details are on the register. This Repeal Act is still in place; therefore, the population group used in this report refers to the population group as identified by the certifying physician/professional nurse on the death notification form and is only used for statistical purposes. Stillbirth is the intra-uterine death of a foetus of at least 26 weeks of gestation that showed no sign of life after complete birth. Underlying cause of death (previously known as primary cause) is the disease or injury that initiated the sequence of events leading directly to death; or the circumstances of the accident or violence which produced the fatal injury.
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Appendix B: Death notification form (BI-1663)
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Appendix B: Reverse side of the BI-1663 death notification form
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Appendix B1: Death notification form (DHA-1663A)
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Appendix B1: Death notification form (DHA-1663A) – page 2 of 3
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Appendix B1: Death notification form (DHA-1663A) – page 3 of 3
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Appendix B2: Death notification form (DHA-1663B)
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Appendix C: Assessment of the quality of data The gold standard in mortality statistics is to have real-time data on the number of deaths and corresponding medically certified causes of death (WHO, 2013). However, the information needs to be of the highest quality in terms of completeness of death registration, timeliness of death registration and publication of death statistics, and accurateness of information provided embedded in deaths with correct information on characteristics of deceased, accurate causes of deaths and lower proportions of deaths with ill-defined or unspecified causes of deaths. In this regard, data quality confrontation has to be undertaken for improvements in mortality statistics to be realised. Improvements in quality of mortality data are essential in more effective policies and programmes concerning people’s health and quality of life with the aim of leaving no one behind. Completeness of death registration The proportion of all deaths that occurred in a specific period and were covered by the civil registration of a country (referred to as completeness) was estimated at 94% for adults deaths (15 years and older) for the intercensal period 2007–2011. This had improved slightly from the 93% completeness estimated during the 2001–2007 intercensal period. For 2014 adult death registration, the recent 94% completeness level is adopted. Revised estimates will be provided after the 2016 Community Survey. The methods used to derive the level of completeness for the intercensal period 2001–2007 and 2007–2011 were the Generalised Growth Balance (GGB) as proposed by Hill (1987), and the Synthetic Extinct Generation method (SEG) by Bennett and Horiuchi (1981, 1984) deaths. For the underlying assumptions and method followed on deriving completeness for the intercensal period 2007–2011, refer to Stats SA (2014). The extent of completeness of child deaths registration (0–14 years), however, is less certain, given the lack of completeness level estimates. Timeliness of death registration In South Africa, the Regulations for the Registration of Births and Deaths published in 2014 mandate that a death must be registered within 72 hours (3 days) of occurrence (Republic of South Africa, 2014). Timeliness in death registration indicates that all deaths are registered within the legally stipulated time allowance (UN, 2014). In general, timeliness of death registration refers to the interval between the date of death occurrence and the date it was registered with the Department of Home Affairs (DHA). The number of days it took for deaths to be registered at DHA offices in 2014 is shown in Table C.1. For deaths that occurred in 2014, 15,6% were registered within a day of occurrence, 30,6% a day after the death had occurred, 19,3% on the second day after death occurrence and 13,0% on the third day. The proportion of deaths which were registered within the 72 hours (3 days) stipulated by the Regulations legislative framework was 78,4%. It is worth noting that although 21,6% of the deaths were not registered within the legislative framework’s stipulated time period, they were registered within a year of death occurrence and reached Stats SA in time for the production of the statistical release. Strategies are needed to improve adherence to the legislative framework especially for the delayed deaths that did not reach Stata SA in time for the 2014 deaths processing phase.
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Table C1: Distribution of deaths by the number of days it took to register the death, 2014 Number of days
Number of deaths
Within a day of death
Percentage
Cumulative percentage
70 709
15,6
15,6
138 627
30,6
46,2
2 days
87 295
19,3
65,4
3 days
58 984
13,0
78,4
4 days
35 012
7,7
86,2
5 days
20 220
4,5
90,6
1 day
6 days
11 456
2,5
93,1
7-13 days
19 080
4,2
97,4
14-20 days
3 107
0,7
98,0
21-30 days
1 862
0,4
98,5
31-364 days
6 822
1,5
100,0
186
0,0
100,0
453 360
100,0
1 year+ Total
Timeliness of publication of statistics Timeliness of publication refers to the mean time from end of reference period to publication. This statistical release took 11 months from the end of the reference period (2014) to publication. The primary focus of this publication is to present information on deaths that occurred in 2014. However, deaths from previous years are also presented to examine the timeliness of reporting of deaths, that is, the extent to which the data from previous years were registered late or not processed in time as indicated by the number of deaths processed after the end of the reference year. Table C.2 provides information on the number of deaths published in December 2014 for the years 1997–2013, the number of additional forms received during the 2014/2015 processing phase as well as the total number of deaths for each of the years as of December 2015. A total of 22 185 death notification forms were received in the 2014/2015 processing phase for deaths which occurred during the years 1997 and 2013 but were only registered or processed in 2014. Generally, most of the additional forms totalling 14 451 (65,1%) were for deaths that occurred in 2013. This high number of forms from 2013 deaths is attributed to the shortening of the processing time. A shorter processing time, impacts on the number of forms that reach Stats SA in time for the processing phase cut-off. The age and sex distribution of deaths from 1997 to 2014 updated for late registrations or delayed transfer of forms is provided in Appendices D (1997–1999), D.1 (2000–2002), D.2 (2003–2005), D.3 (2006–2008), D.4 (2009–2011) and D.5 (2012–2014) [see pages 68−73].
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Table C2: Number of deaths published in December 2014 and late registrations processed during the 2014/2015 processing phase by year of death, 1997–2013 Year of death 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Total
Number of deaths published in December 2014 317 412 366 124 382 121 416 818 455 656 502 797 557 792 577 823 598 866 613 691 605 448 597 016 582 024 549 925 514 486 491 100 458 933 8 588 032
Additional forms received in the 2014 processing phase 315 353 409 224 398 363 466 394 401 323 501 765 932 476 452 962 14 451 22 185
Total number of deaths published in December 2015 317 727 366 477 382 530 417 042 456 054 503 160 558 258 578 217 599 267 614 014 605 949 597 781 582 956 550 401 514 938 492 062 473 384 8 610 217
Data confrontation Figure C.1 shows the comparison of the civil registration system number of deaths processed by Stats SA and those recorded on the National Population Register (NPR) maintained by the DHA. This comparison aims to evaluate the quality of the data based on cohesiveness of the data from the two systems. The key is to ensure that based on the known differences and disparities the two systems do not overlap and create disconnected statistical information. While the two systems show similar trends, the number of deaths processed by Stats SA is always higher than the number of deaths recorded on the NPR and this difference can be explained by the following: • Stats SA reports on all deaths registered at the DHA regardless of citizenship status and birth registration (South African citizens in the NPR, South African citizens not in the NPR, permanent residents and noncitizens). Although Stats SA reports on all deaths registered at DHA, some of the registered deaths are excluded from the report, as the forms were not transmitted from DHA to Stats SA in time for the processing phase cut-off. • The NPR only includes deaths of South African citizens and permanent residents whose particulars were already on the NPR at the time of death occurrence. The general pattern shows that the two sources have followed a similar pattern over time; consistent increases between years 1997 to 2006 and declining deaths thereafter. However, deaths processed by Stats SA remained higher than those on the NPR. The magnitude of the difference between the two sources may be affected by delayed death notification forms that did not make it in time for the processing phase cut-off. For example, in the 2013 mortality and causes of death statistical release, 458 933 deaths were processed and published by Stats SA, while for the same year 453 483 death records were found on the NPR (Stats SA, 2015). In the current release, the 2013 deaths increased to 473 384 with the processing of additional forms while the NPR deaths increased to 453 727, indicating an increase of 3,2% for deaths processed by Stats SA and an increase of 0,05% for deaths in the NPR. This implies that additional forms were higher for Stats SA, indicating that the death records were missed due to delays in transfer from DHA to Stats SA and late registrations.
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Figure C1: Number of deaths registered by source of data and year of death, 1997–2014 700 000
600 000
Number of deaths
500 000
400 000
300 000
200 000
100 000
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
DHA(NPR) 262 907 301 494 329 352 367 560 409 410 443 707 489 995 515 460 537 073 558 458 553 800 546 517 533 304 509 326 487 312 470 706 453 727 Stats SA
317 727 366 477 382 530 417 042 456 054 503 160 558 258 578 217 599 267 614 014 605 949 597 781 582 956 550 401 514 938 492 062 473 384
*Data for 1997–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015.
Quality of causes of death information Quality information on underlying causes of death is critical to guide decision-making in public health. As such, it is important that this information is assessed from data processing through to the data analysis phase in order to measure the extent to which the data may be used for health policies and programmes. Table C.3 provides the assessment of the quality of causes of death data based on the number and percentage distribution of ill-defined causes by sex of the deceased. The ill-defined causes refer to diagnoses that are vague, non-specific and have insufficient details to be of value in promoting preventive and curative health interventions. Although ill-defined causes still help to provide the overall mortality due to broad diseases, they fail to provide a concise picture as they poorly attribute the underlying cause. The results show that for both sexes the highest proportions of ill-defined causes were symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (50,7%) followed by heart failure (11,0%) and then essential (primary) hypertension (7,8%). About 7,2% of ill-defined causes were due to event of undetermined intent for both sexes, with much higher proportions for males (11,5%) than for females (3,0%).
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Table C3: Number and percentage distribution of ill-defined causes of death by sex of the deceased, 2014*
Number Underlying cause of death (based in ICD-10) Male Streptococcal septicaemia (A40)
Female
Percentage Both sexes
Male
Female
Both sexes
1
2
3
0,0
0,0
0,0
2 451
3 064
5 515
4,4
5,5
4,9
179
259
438
0,3
0,5
0,4
1 499
1 445
2 944
2,7
2,6
2,6
Malignant neoplasm of independent (primary) multiple sites (C97) Disseminated intravascular coagulation [defibrination syndrome] (D65)
267
219
486
0,5
0,4
0,4
48
68
116
0,1
0,1
0,1
Volume depletion (E86)
665
678
1 343
1,2
1,2
1,2
Essential (primary) hypertension (I10)
3 237
5 404
8 641
5,8
9,7
7,8
Cardiac arrest (I46)
1 745
1 918
3 663
3,1
3,4
3,3
Heart failure (I50)
5 502
6 767
12 269
9,9
12,1
11,0
494
509
1 003
0,9
0,9
0,9
Other septicaemia (A41) Malignant neoplasm of other and ill–defined sites (C76) Malignant neoplasm without specification of site (C80)
Complications and ill-defined descriptions of heart disease (I51) Other and unspecified disorders of circulatory system (I99) Pulmonary oedema (J81)
18
17
35
0,0
0,0
0,0
175
194
369
0,3
0,3
0,3
Respiratory failure, not elsewhere classified (J96)
952
857
1 809
1,7
1,5
1,6
Hepatic failure, not elsewhere classified (K72)
729
661
1 390
1,3
1,2
1,2
Acute renal failure (N17)
468
407
875
0,8
0,7
0,8
Chronic renal failure (N18)
790
775
1 565
1,4
1,4
1,4
2 275
2 117
4 392
4,1
3,8
3,9
27 614
28 937
56 551
49,8
51,7
50,7
Unspecified renal failure (N19) Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) Event of undetermined intent (Y10-Y34) Total of ill-defined
6 358
1 682
8 040
11,5
3,0
7,2
55 467
55 980
111 447
100,0
100,0
100,0
*Excluding deaths with unspecified sex.
The high proportion of deaths classified under symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (over 50%) is further analysed to review trends (1997–2014) in reporting this group. Figure C.2 shows that over the years 1997 to 2014, the percentage of deaths classified as ill-defined causes ranged between 12% and 14%. The lowest proportion of 12,3% was recorded in 1999 and the highest proportion of 13,9% was recorded in 2007. The proportion fluctuated between 2008 and 2009, after which it remained around 13,6% from 2010 to 2012. In 2013, the proportion of deaths assigned to the ill-defined group decreased to 12,7%, and then further decreased to 12,5% for 2014 registered deaths.
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Figure C2: Percentage distribution of deaths assigned to symptoms, signs and abnormal clinical and laboratory findings not elsewhere classified and year of death 1997–2014*
*Data for 1997–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015.
Assessment framework for death registration data This statistical release adopts the assessment framework proposed by Mahapatra et al. (2007) to assess the quality of the 2014 death registration data received from the civil registration system. The framework proposed two categories, namely general vital statistics and causes-of-death statistics. Both categories measure quality in terms of level of accuracy, relevance, comparability, timeliness and accessibility. The results of the Mahapatra et al. 2007 assessment framework for the 2014 mortality and causes of death data from the South African civil registration system are shown in Table C.4 and Table C.5. Table C.4 shows the percentage of key variables with unknown or unspecified information and forms part of the accuracy criteria in the assessment framework for the years 2013 and 2014. The unknown cases refer to cases where more than one option was selected on the form or where the information could not be classified according to specified categories while unspecified cases refer to missing data for that variable. For the selected variables shown in table C.4, there has been no major improvements with the exception of population group which improved from 17,3% in 2013 to 12,7% in 2014. For the variables that have been well reported over time, in 2014, less than 1% of deaths had unknown or unspecified information for age of deceased (0,3%), sex of deceased (0,4%) and province of death occurrence (0,3%). A notable decrease in missing information was observed for province of usual residence from 1,8% in 2013 to 1,2% in 2014. The information on province of birth occurrence was not well reported as 18,0 of the variable had missing information. Missing information for marital status was 15,5% in 2014. The 2014 results further indicate that 12,7% of the deaths had unknown or unspecified information on population group, down from 13,5% in 2013. This variable has been improving in the recent years considering that over the period 1997 to 2010 missing information on this variable was constant at around 25%.
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In this release, no analyses were undertaken for all variables where more than half of the deaths had unknown or unspecified information. In 2014, occupation (70,8%), industry (52,5%) and pregnancy status (79,5%) remained the three variables with over half or the information classified as unknown or unspecified. However, a dataset containing unit records on mortality and causes of death 2014, which include variables not covered in this release due to poor reporting, is available on request from Stats SA. In addition, for the accuracy dimension Table C.5 indicates that 94% of adult (15 years and older) death registrations were reported for the 2007–2011 intercensal period. The table also shows that the relevance and comparability of general vital statistics is regarded as complete. The table further shows that for causes-of-death-statistics about half (48,0%) of the 2014 deaths occurred within a health care facility. This approximates the percentage of deaths whose causes are more likely to be detailed enough for the underlying cause to be derived. Cause-of-death-statistics are regarded as completely relevant as they are based on routine tabulations by sex and five year age groups as well as the fact that tabulation of cause-of-death information is provided for the nine provinces and 52 district municipalities in the country. The tools used in coding causes of death (International Classification of Diseases 10th revision) for 2014 and the variables analysed were similar to those in previous years. Therefore, comparability over time and with other countries is also regarded as complete. The 2014 deaths show that 12,5% of all deaths were assigned to ill-defined causes. Mahapatra et al. (2007) propose that at most 10% of cause-of-death statistics should be assigned to symptoms, signs and abnormal clinical and laboratory findings not elsewhere classified categories. Despite not meeting this threshold, the ill-defined causes slightly improved from 12,7% in 2013. The table further shows that processing 2014 data on causes of death took 9 months and the mean time from end of reference period to publication was 11 months. Shorter processing time ensures that the mean time from end of reference period to publication is reduced which in turn improves timeliness. In terms of meeting user needs there is wide accessibility to the statistical release and datasets published on mortality and causes of death. The data published on this release are available in a wide range of formats and can be accessed through Stats SA website and also by making use of Stats SA User Information Services. Table C4: Percentage of deaths classified as unknown/unspecified for selected variables, 2013–2014 Applicable group
Percentage unknown or Unspecified (2013)
Percentage unknown or Unspecified (2014)
Sex
All
0,4
0,4
Age
All
0,4
0,3
Province of death occurrence
All
0,2
0,3
Province of usual residence of deceased
All
1,8
1,2
Province of birth
All
13,5
18,0
Population group
All
17,3
12,7
All
22,9
23,4
All
29,6
31,3
All
15,9
15,5
Aged 16 and older
35,5
34,4
Variables
Place or institution of death occurrence Method used to ascertain cause of death Marital Status Smoking status Education
Aged 6 and older
44,9
48,5
Aged 15 and older
70,9
70,8
Industry
Aged 15 and older (economically active)
53,5
52,5
Pregnancy status
Females aged 10–55
78,3
79,5
Occupation
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Metadata
Availability of user service
Coding causes of death using the tenth revision at 4/5-digit level
100%
9 provinces and 52 district/metropolitan municipalities
100%
12,5%
48,0%
Measure
P0309.3
Mortality,5nd causes of death in South Africa, 2014: Findings from death notification
Two: website and compact discs
Accessibility Media - number of formats in which data are released
*Based on the framework proposed by Mahapatra et al. (2007)
11 months
Mean time from end of reference period to publication
ICD coding for certification and coding of causes of deaths, revision used and code level to which tabulations are published
9 months
100%
Uniformity of definitions across areas
Comparability Consistency of cause-specific mortality proportions over consecutive years
Number of cause-of-death tabulation areas
Timeliness Processing time
100%
100%
Comparability Stability of key definitions over time
Deaths in children under five years tabulated by 0 and 1–4-year age group
Relevance Routine tabulation by sex and five year age groups
100%
Relevance Routine tabulations by sex and five year age groups
Accuracy Proportion of deaths that occurred in healthcare facilities
Criteria and indicators
Proportion of deaths assigned to symptoms and signs of disease not elsewhere classified (R00-R99)
94%
Measure
Cause-of-death statistics
Missing data See Table 2.4
Accuracy Completeness of death registration for adults (2007–2011)
Criteria and indicators
General vital statistics
Table C5: Assessment of the 2014 South African death statistics from civil registration system using the framework proposed by Mahapatra et al. (2007)
Statistics South Africa
1 547
3 777
8 181
10 938
11 854
11 998
11 801
12 245
11 324
12 672
11 201
12 485
11 296
11 209
6 605
3 954
2 029
3 113
10–14
15–19
20–24
25–29
30–34
35–39
40–44
45–49
50–54
55–59
60–64
65–69
70–74
75–79
80–84
85–89
90+
Unspecified
139 702
2 366
4 732
6 919
8 784
12 343
10 065
11 049
9 298
7 937
6 254
6 383
6 425
6 884
7 211
7 460
5 467
2 479
1 195
1 254
3 651
11 546
Female
1997
1 049
106
13
25
32
45
49
49
50
46
30
52
37
52
51
44
53
23
20
17
52
203
Unsp.
317 727
5 585
6 774
10 898
15 421
23 597
21 410
23 583
20 549
20 655
17 608
18 680
18 263
18 934
19 116
18 442
13 701
6 279
2 762
2 977
7 755
24 738
Total
200 627
2 822
2 363
4 261
7 883
11 430
12 747
13 259
12 441
13 945
13 025
14 208
13 962
14 627
14 389
13 091
8 799
4 110
1 695
1 780
4 861
14 929
Male
68
1998
163 902
2 099
5 564
7 807
11 045
12 485
11 800
12 461
10 002
8 890
7 220
7 695
7 944
8 950
9 742
9 890
6 927
2 909
1 288
1 435
4 489
13 260
Female
*Data for 1997–1999 have been updated with late registrations/delayed death notification forms processed in 2014/2015
176 976
1 706
5–9
Total
4 052
12 989
Male
1–4
0
Age group
Appendix D: Number of deaths by age, sex and year of death, 1997–1999*
Statistics South Africa
366 477
5 117
7 956
12 103
18 977
24 002
24 600
25 804
22 503
22 943
20 324
21 992
22 001
23 675
24 261
23 093
15 838
7 082
3 006
3 251
9 446
28 503
Total
206 145
1 491
2 211
4 451
7 604
10 704
12 863
12 843
12 701
14 089
13 896
15 002
15 239
16 474
16 314
13 904
8 651
4 356
1 650
1 897
5 070
14 735
Male
174 289
1 112
5 382
7 946
11 324
11 588
12 256
12 324
10 053
8 687
7 773
8 535
8 943
10 840
12 302
12 669
8 308
3 335
1 306
1 509
4 639
13 458
Female
2 096
112
30
51
73
63
71
91
85
84
81
102
91
111
121
141
107
89
23
34
98
438
Unsp.
382 530
2 715
7 623
12 448
19 001
22 355
25 190
25 258
22 839
22 860
21 750
23 639
24 273
27 425
28 737
26 714
17 066
7 780
2 979
3 440
9 807
28 631
Total
Mortality,5nd causes of death in South Africa, 2014: Findings from death notification
1 948
196
29
35
49
87
53
84
60
108
79
89
95
98
130
112
112
63
23
36
96
314
Unsp.
1999
P0309.3
1 723
4 321
8 881
15 088
18 512
18 567
17 164
16 136
15 307
13 959
14 262
12 605
13 126
10 358
8 492
4 683
2 531
1 189
10–14
15–19
20–24
25–29
30–34
35–39
40–44
45–49
50–54
55–59
60–64
65–69
70–74
75–79
80–84
85–89
90+
Unspecified
195 993
894
6 530
8 230
12 648
11 541
14 148
12 076
11 263
8 880
9 114
9 583
11 046
13 641
15 842
15 761
9 910
3 491
1 338
1 597
4 930
13 530
Female
2000
1 752
145
31
27
32
48
67
53
69
75
67
80
82
97
110
106
88
72
36
29
86
352
Unsp.
417 042
2 228
9 092
12 940
21 172
21 947
27 341
24 734
25 594
22 914
24 488
25 799
28 292
32 305
34 464
30 955
18 879
7 884
3 097
3 625
10 403
28 889
Total
237 410
1 054
3 027
4 584
9 170
10 861
14 058
13 030
15 133
14 599
16 941
17 944
19 383
21 132
20 942
16 877
8 946
4 482
1 750
2 126
5 890
15 481
Male
69
2001
216 979
788
7 165
8 372
13 929
12 057
15 136
12 822
12 079
9 137
10 161
10 962
12 905
15 896
18 783
19 348
10 965
3 916
1 467
1 708
5 308
14 075
Female
*Data for 2000–2002 have been updated with late registrations/delayed death notification forms processed in 2014/2015
219 297
1 999
5–9
Total
5 387
15 007
Male
1–4
0
Age group
Appendix D1: Number of deaths by age, sex and year of death, 2000–2002*
Statistics South Africa
456 054
1 943
10 220
12 987
23 146
22 979
29 254
25 917
27 279
23 802
27 176
28 968
32 383
37 129
39 837
36 335
19 997
8 461
3 239
3 863
11 276
29 863
Total
257 748
1 139
3 295
4 379
9 551
11 111
13 802
13 758
16 197
15 429
18 642
19 316
21 622
24 111
23 932
18 659
9 583
4 740
1 868
2 404
6 325
17 885
Male
243 430
791
7 667
8 318
14 205
12 841
15 481
13 295
12 713
10 016
11 259
12 687
15 535
19 490
23 585
23 386
12 518
4 294
1 488
1 964
5 693
16 204
Female
1 982
114
33
34
60
71
62
65
82
71
103
112
117
129
153
136
112
60
24
17
87
340
Unsp.
503 160
2 044
10 995
12 731
23 816
24 023
29 345
27 118
28 992
25 516
30 004
32 115
37 274
43 730
47 670
42 181
22 213
9 094
3 380
4 385
12 105
34 429
Total
Mortality,5nd causes of death in South Africa, 2014: Findings from death notification
1 665
101
28
31
47
61
60
65
67
66
74
62
95
101
112
110
86
63
22
29
78
307
Unsp.
2002
P0309.3
2 003
4 840
10 355
20 052
27 540
26 471
24 786
22 083
20 622
17 226
17 409
14 680
14 486
12 080
9 453
5 438
3 382
1 680
10–14
15–19
20–24
25–29
30–34
35–39
40–44
45–49
50–54
55–59
60–64
65–69
70–74
75–79
80–84
85–89
90+
Unspecified
271 763
957
8 157
10 204
13 708
14 131
16 397
13 894
13 318
10 999
12 897
14 493
18 471
22 698
28 186
26 292
14 211
4 562
1 643
2 204
6 290
18 051
Female
2003
2 016
215
18
37
39
56
57
53
58
49
68
90
122
114
145
153
105
70
25
28
79
435
Unsp.
558 258
2 852
11 557
15 679
23 200
26 267
30 940
28 627
30 785
28 274
33 587
36 666
43 379
49 283
55 871
46 497
24 671
9 472
3 671
5 011
13 513
38 456
Total
292 290
1 935
3 292
5 040
8 652
11 820
13 451
15 223
16 987
18 086
21 136
23 119
26 510
28 258
28 484
19 834
10 379
4 689
2 142
3 191
8 272
21 790
Male
2004
284 283
931
7 481
9 478
11 965
14 089
15 431
13 810
13 407
12 036
14 117
16 273
20 599
25 201
30 689
27 614
15 108
4 624
1 780
2 803
7 638
19 209
Female
70
Data for 2003-2005 have been updated with late registrations/delayed death notification forms processed in 2014/2015
284 479
2 779
5–9
Total
7 144
19 970
Male
1–4
0
Age group
Appendix D2: Number of deaths by age, sex and year of death, 2003–2005*
Statistics South Africa
1 644
246
14
19
21
15
26
26
31
33
47
67
70
88
79
112
78
42
13
13
71
533
Unsp.
301 452
1 977
3 290
5 454
8 438
12 223
12 916
16 376
16 850
19 719
21 532
24 470
27 501
29 443
28 830
19 335
10 495
4 776
2 149
3 367
8 232
24 079
Male
296 077
1 082
7 887
10 346
11 840
15 920
15 088
15 191
13 250
13 318
14 968
17 405
21 497
26 294
31 313
27 300
14 891
4 548
1 858
2 804
7 323
21 954
Female
1 738
223
15
17
21
35
35
37
34
47
57
79
86
101
107
108
90
53
17
21
80
475
Unsp.
599 267
3 282
11 192
15 817
20 299
28 178
28 039
31 604
30 134
33 084
36 557
41 954
49 084
55 838
60 250
46 743
25 476
9 377
4 024
6 192
15 635
46 508
Total
Mortality,5nd causes of death in South Africa, 2014: Findings from death notification
578 217
3 112
10 787
14 537
20 638
25 924
28 908
29 059
30 425
30 155
35 300
39 459
47 179
53 547
59 252
47 560
25 565
9 355
3 935
6 007
15 981
41 532
Total
2005
P0309.3
2 387
4 852
10 878
19 030
28 917
29 529
28 156
25 188
22 829
20 675
17 086
17 769
13 607
12 741
8 957
6 155
3 567
10–14
15–19
20–24
25–29
30–34
35–39
40–44
45–49
50–54
55–59
60–64
65–69
70–74
75–79
80–84
85–89
90+
310 145
302 097
357
8 720
12 036
12 354
17 029
15 616
15 826
13 357
14 200
15 640
17 980
21 899
26 151
31 084
26 225
14 834
4 606
1 920
2 554
7 591
22 118
Female
2006
1 772
146
9
12
21
25
27
25
26
42
42
45
79
80
96
86
98
39
15
17
117
725
Unsp.
614 014
1 372
12 296
18 203
21 332
29 795
29 250
33 620
30 469
34 917
38 511
43 213
50 134
55 760
60 097
45 341
25 810
9 497
4 322
5 602
16 112
48 361
Total
308 590
821
3 687
6 374
8 928
12 615
13 856
18 003
17 532
21 483
22 963
24 950
27 175
29 491
28 462
18 556
10 944
4 894
2 250
2 882
7 843
24 881
Male
71
2007
296 341
344
8 801
12 228
12 950
17 107
15 874
15 879
13 512
14 658
15 688
17 961
21 272
24 960
29 230
24 676
13 795
4 217
1 911
2 506
7 056
21 716
Female
Data for 2006–2008 have been updated with late registrations/delayed death notification forms processed in 2014/2015
Total
869
3 031
5–9
Unspecified
8 404
25 518
Male
1–4
0
Age group
Appendix D3: Number of deaths by age, sex and year of death, 2006–2008*
Statistics South Africa
605 949
1 277
12 500
18 604
21 882
29 726
29 738
33 891
31 055
36 164
38 668
42 954
48 496
54 501
57 761
43 303
24 791
9 126
4 163
5 392
14 946
47 011
Total
305 736
742
3 996
6 005
9 063
12 624
14 194
18 117
17 804
21 677
22 843
24 892
26 174
29 220
26 903
18 514
10 748
4 868
2 234
2 740
8 233
24 145
Male
291 162
262
9 576
11 229
13 894
17 247
15 364
15 663
13 951
15 003
15 619
17 626
20 303
24 470
27 365
23 629
12 945
4 140
1 893
2 310
7 222
21 451
Female
883
153
27
1
2
4
2
12
17
22
21
31
31
48
56
48
43
26
2
7
31
299
Unsp.
597 781
1 157
13 599
17 235
22 959
29 875
29 560
33 792
31 772
36 702
38 483
42 549
46 508
53 738
54 324
42 191
23 736
9 034
4 129
5 057
15 486
45 895
Total
Mortality,5nd causes of death in South Africa, 2014: Findings from death notification
1 018
112
12
2
4
4
8
9
11
23
17
43
49
50
69
71
52
15
2
4
47
414
Unsp.
2008
P0309.3
2 383
4 678
10 000
17 771
25 024
27 701
25 186
24 382
22 851
21 807
19 237
18 234
15 187
12 750
9 798
6 160
5 252
1 202
10–14
15–19
20–24
25–29
30–34
35–39
40–44
45–49
50–54
55–59
60–64
65–69
70–74
75–79
80–84
85–89
90+
Unspecified
282 043
373
11 677
11 242
15 145
17 810
15 965
15 747
14 414
15 147
15 601
17 375
19 208
22 418
24 241
21 715
11 841
4 149
2 072
2 041
6 098
17 764
Female
2009
1 226
198
1
2
9
9
17
16
20
29
39
44
53
57
81
68
55
25
4
6
31
462
Unsp.
582 956
1 773
16 930
17 404
24 952
30 569
31 169
33 997
33 671
36 983
38 491
41 801
44 447
50 176
49 346
39 554
21 896
8 852
4 459
4 415
12 807
39 264
Total
283 002
989
4 087
5 767
9 935
11 773
15 852
17 291
20 095
20 965
22 013
22 923
23 348
24 790
22 439
16 508
9 434
4 425
2 444
2 557
7 036
18 331
Male
72
2010
266 140
257
10 737
10 510
16 231
16 143
16 694
14 608
14 815
14 331
15 221
16 380
17 661
20 415
21 441
19 525
10 701
3 977
2 123
2 118
6 127
16 125
Female
*Data for 2009–2011 have been updated with late registrations/delayed death notification forms processed in 2014/2015
299 687
2 368
5–9
Total
6 678
21 038
Male
1–4
0
Age group
Appendix D4: Number of deaths by age, sex and year of death, 2009–2011*
Statistics South Africa
550 401
1 567
14 833
16 282
26 177
27 924
32 561
31 920
34 939
35 329
37 265
39 360
41 056
45 257
43 951
36 096
20 170
8 420
4 570
4 680
13 207
34 837
Total
265 398
1 368
4 386
5 995
9 966
11 717
16 547
17 002
20 432
20 396
21 123
20 987
20 934
22 486
19 659
14 985
8 594
4 127
2 101
2 358
5 332
14 903
Male
247 424
644
11 413
11 178
16 748
16 504
16 845
14 285
14 970
14 240
14 370
14 942
15 509
17 504
17 819
16 162
8 909
3 562
1 800
2 038
4 783
13 199
Female
2 116
593
7
13
14
18
21
26
59
54
74
68
100
114
143
145
83
25
5
9
46
499
Unsp.
514 938
2 605
15 806
17 186
26 728
28 239
33 413
31 313
35 461
34 690
35 567
35 997
36 543
40 104
37 621
31 292
17 586
7 714
3 906
4 405
10 161
28 601
Total
Mortality,5nd causes of death in South Africa, 2014: Findings from death notification
1 259
321
9
5
11
8
15
21
29
33
31
57
47
52
71
63
35
18
3
5
44
381
Unsp.
2011
P0309.3
2 246
4 108
8 414
14 591
18 106
20 670
19 725
19 218
19 815
19 942
20 145
16 980
16 189
11 985
9 938
5 782
4 290
1 486
10–14
15–19
20–24
25–29
30–34
35–39
40–44
45–49
50–54
55–59
60–64
65–69
70–74
75–79
80–84
85–89
90+
Unspecified
233 762
733
10 986
11 109
16 692
16 304
16 327
13 867
14 385
13 459
13 677
13 622
14 034
15 673
16 093
14 199
7 800
3 414
1 904
2 234
4 952
12 298
Female
2012
2 152
655
7
10
11
18
14
23
30
51
70
86
96
117
153
125
84
19
4
6
48
525
Unsp.
492 062
2 874
15 283
16 901
26 641
28 307
32 530
30 870
34 560
33 452
33 562
32 926
33 855
36 460
34 352
28 915
16 298
7 541
4 154
4 886
10 591
27 104
Total
246 967
989
4 123
5 983
9 653
12 271
16 214
16 754
20 280
19 347
19 195
18 200
18 942
18 851
17 331
13 597
8 375
4 217
1 845
1 918
4 957
13 925
Male
73
2013
224 351
417
10 941
11 836
16 747
15 938
16 449
14 054
14 673
13 424
13 378
12 906
13 300
13 965
14 338
12 239
7 056
3 085
1 520
1 571
4 315
12 199
Female
*Data for 2012-2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015
256 148
2 646
5–9
Total
5 591
14 281
Male
1–4
0
Age group
Appendix D5: Number of deaths by age, sex and year of death, 2012−2014*
Statistics South Africa
473 384
1 875
15 075
17 832
26 416
28 232
32 682
30 841
35 002
32 823
32 648
31 184
32 358
32 948
31 821
25 975
15 500
7 332
3 371
3 501
9 338
26 630
Total
236 613
627
4 115
6 166
9 215
12 325
15 402
17 405
20 065
18 702
18 482
16 965
17 635
17 103
16 442
12 405
7 943
3 988
1 724
1 781
4 594
13 529
Male
214 826
197
11 316
12 370
16 344
15 710
15 897
14 294
14 754
13 256
12 873
12 039
12 225
12 569
13 213
10 530
5 948
2 995
1 361
1 353
3 964
11 618
Female
1 921
345
4
10
17
18
17
22
36
59
70
73
106
146
164
166
76
19
7
9
61
496
Unsp.
453 360
1 169
15 435
18 546
25 576
28 053
31 316
31 721
34 855
32 017
31 425
29 077
29 966
29 818
29 819
23 101
13 967
7 002
3 092
3 143
8 619
25 643
Total
Mortality,5nd causes of death in South Africa, 2014: Findings from death notification
2 066
469
11
13
16
23
19
33
49
52
75
78
116
132
152
139
69
30
6
12
66
506
Unsp.
2014
P0309.3
74
17,3
15,1
Total
4,4
6,3
2,8
19981999
9,2
12,5
6,4
19992000
9,4
10,7
8,3
20002001
10,3
12,2
8,6
20012002
11,0
11,6
10,4
20022003
3,7
4,6
2,7
20032004
3,6
4,1
3,1
20042005
2,5
2,0
2,9
20052006
-1,2
-1,9
-0,5
20062007
*Data for 1997–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015.
13,4
Female
19971998
Male
-10,0
-5,0
0,0
5,0
10,0
15,0
20,0
Appendix E: Year-to-year percentage changes in number of deaths by sex, 1997–2014*
Statistics South Africa
Percentage change
-1,3
-1,7
-0,9
20072008
-5,6
-5,6
-5,6
20092010
-6,6
-7,0
-6,2
20102011
-4,5
-5,5
-3,5
20112012
-3,8
-4,0
-3,6
20122013
-4,2
-4,2
-4,2
20132014
Mortality,5nd causes of death in South Africa, 2014: Findings from death notification
-2,5
-3,1
-2,0
20082009
P0309.3
14
13
13
12
2012
2013
2014
2
3
3
3
4
1-4
1
1
1
1
1
5-9
1
1
1
1
1
10-14
1
1
1
1
2
15-19
3
3
3
3
4
20-24
5
5
6
7
8
25-29
7
8
8
9
11
30-34
10
11
11
12
14
40-44
Age group
8
9
10
12
13
35-39
75
*Data for 2010–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015.
17
2011
0
2010
0
20
40
60
80
100
120
140
160
180
Appendix F: Age-specific death rates (ASDR) by year of death, 2010–2014*
Statistics South Africa
Deaths per 1000 population
11
12
13
14
16
45-49
14
15
15
17
18
50-54
23
24
24
26
26
60-64
28
28
29
30
32
65-69
40
43
45
47
48
70-74
58
61
63
65
67
75-79
148
153
157
166
165
80+
Mortality,5nd causes of death in South Africa, 2014: Findings from death notification
17
18
19
20
21
55-59
P0309.3
127
1997
122
1998
118
1999
112
2000 109
2001 106
2002 105
2003 102
2005 103
2006
Year of death
103
2004
76
*Data for 1997–2013 have been updated with late registrations/delayed death notification forms processed in 2014/2015
Sex ratio
90
95
100
105
110
115
120
125
130
Appendix G: Sex ratios at death by year of death, 1997–2014*
Statistics South Africa
Male deaths per 100 females
104
2007
105
2008
106
2010
107
2011
110
2012
110
2013
110
2014
Mortality,5nd causes of death in South Africa, 2014: Findings from death notification
106
2009
P0309.3
77
41 875 820 166 64 388 44 346 20 32 22 65 43 842
Western Cape
324 63 410 46 241 1 914 75 482 170 52 13 73 66 800
Eastern Cape 151 42 13 075 232 28 264 87 15 35 5 92 14 026
Northern Cape 55 130 102 31 294 114 330 702 64 42 70 44 32 947
Free State 316 652 17 97 74 391 47 631 294 103 30 186 76 764
KwaZuluNatal 82 90 296 216 131 32 472 2 036 73 265 13 119 35 793
North West 339 354 63 358 1 106 849 88 039 750 361 219 180 92 618
Gauteng 64 180 19 90 356 57 1 472 32 307 852 41 173 35 611
Mpumalanga
Province of usual residence of deceased
99 82 40 54 106 188 1 296 851 45 339 23 143 48 221
Limpopo 43 72 16 180 88 54 275 156 274 172 12 1 342
Foreign 672 721 216 219 516 553 1 370 302 494 105 228 5 396
Unspecified
95,1
1,2
1,2
0,2
0,5
0,1
0,4
0,1
0,1
3,1
4,9
Eastern Cape
Northern Cape
Free State
KwaZulu-Natal
North West
Gauteng
Mpumalanga
Limpopo
Foreign
Unspecified
Western Cape
Western Cape
Province of death occurrence
5,6
1,8
0,1
0,5
0,5
0,2
2,4
0,7
0,3
95,3
0,7
Eastern Cape
7,0
0,7
0,1
0,0
0,1
0,8
0,0
0,7
93,0
0,1
0,3
Northern Cape
3,3
9,8
0,1
0,2
0,7
0,9
0,1
94,7
0,7
0,2
0,1
Free State
14,1
4,2
0,2
0,8
0,7
0,1
94,0
0,3
0,1
1,0
0,7
KwaZuluNatal
9,0
1,8
0,6
0,2
2,1
93,0
0,2
0,7
2,1
0,1
0,2
North West
13,7
30,7
0,8
2,1
91,0
2,4
1,4
1,1
0,4
0,5
0,8
Gauteng
10,9
3,2
94,8
2,4
1,3
0,5
0,1
0,2
0,3
0,1
0,2
Limpopo
0,9
24,1
0,6
0,4
0,3
0,2
0,1
0,5
0,1
0,1
0,1
Foreign
17,3
14,7
1,0
0,9
1,4
1,6
0,7
0,7
1,5
1,1
1,5
Unspecified
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
Total
44 020 66 553 14 056 33 045 79 138 34 933 96 736 35 002 47 849 713 1 315 453 360
Total
P0309.3
Mortality,5nd causes of death in South Africa, 2014: Findings from death notification
13,2
5,8
1,8
92,3
1,5
0,2
0,4
0,3
0,1
0,3
0,1
Mpumalanga
Province of usual residence of deceased
Appendix H1: Percentage distribution of deaths by province of death occurrence and province of usual residence of the deceased, 2014
Western Cape Eastern Cape Northern Cape Free State KwaZulu-Natal North West Gauteng Mpumalanga Limpopo Foreign Unspecified Total
Province of death occurrence
Appendix H: Number of deaths by province of death occurrence and province of usual residence of the deceased, 2014
Statistics South Africa
78
Statistics South Africa
P0309.3
Appendix I: Number of deaths by age, province and district municipality of death occurrence, 2014 Province of death occurrence
District municipality of death occurrence Cape Winelands
65+
Unsp.
Total
215
108
1 469
2 130
2 404
7
6 333
161
255
251
0
709
7 289
7 934
10 160
38
27 127
182
77
969
1 565
2 060
1
4 854
Overberg
71
24
365
529
886
2
1 877
West Coast
77
36
619
869
973
1
2 575
Eden
20
20
155
146
203
1
545
1 786
792
11 027
13 428
16 937
50
44 020
Alfred Nzo
200
216
1 578
1 120
1 805
12
4 931
Amathole
301
310
2 831
2 910
4 750
23
11 125
Buffalo City
290
216
2 461
2 569
3 091
11
8 638
Cacadu
125
65
943
1 177
1 243
6
3 559
Chris Hani
376
251
2 463
2 342
3 292
9
8 733
Joe Gqabi
167
141
1 237
1 195
1 513
7
4 260
Nelson Mandela Bay
423
207
2 755
3 256
3 502
14
10 157
O.R.Tambo
540
709
5 059
3 261
4 412
17
13 998
Unspecified Total
29
42
295
306
479
1
1 152
2 451
2 157
19 622
18 136
24 087
100
66 553
Frances Baard
249
143
1 036
1 354
1 343
11
4 136
John Taolo Gaetsewe
300
132
801
741
677
2
2 653
48
12
196
394
502
1
1 153
Pixley ka Seme
175
93
873
966
931
3
3 041
Siyanda
181
73
816
932
859
1
2 862
23
8
70
45
65
0
211
Namakwa
Unspecified Total
976
461
3 792
4 432
4 377
18
14 056
Fezile Dabi
290
163
1 424
1 670
1 832
6
5 385
Lejweleputswa
531
202
2 182
2 273
2 036
17
7 241
Mangaung
465
236
2 561
2 691
2 913
13
8 879
Thabo Mofutsanyane
642
300
2 687
2 651
2 651
23
8 954
Xhariep
118
70
621
612
626
4
2 051
31
29
150
143
180
2
535
2 077
1 000
9 625
10 040
10 238
65
33 045
Amajuba
266
110
842
732
869
8
2 827
eThekwini
765
472
5 479
4 742
5 105
41
16 604
Unspecified Total
KwaZulu-Natal
45–64
10
Total
Free State
15–44
517
Unspecified
Northern Cape
1–14
32
City of Cape Town
Eastern Cape
0
1 189
Central Karoo
Western Cape
Age
iLembe
231
179
1 381
1 111
1 446
18
4 366
Sisonke
199
193
1 421
1 083
1 450
3
4 349
Ugu
348
276
2 511
1 928
2 703
16
7 782
uMgungundlovu
443
272
3 250
3 049
3 759
11
10 784
uMkhanyakude
226
159
1 150
822
1 111
3
3 471
uMzinyathi
326
176
1 377
1 197
1 424
15
4 515
uThukela
374
252
2 746
2 212
2 306
14
7 904
uThungulu
641
282
2 669
1 929
2 219
31
7 771
Zululand
494
255
1 980
1 414
1 727
11
5 881
Unspecified
100
124
882
712
1 060
6
2 884
4 413
2 750
25 688
20 931
25 179
177
79 138
Total
Mortality and causes of death in South Africa, 2014: Findings from death notification
79
Statistics South Africa
P0309.3
Appendix I: Number of deaths by age, province and district municipality of death occurrence, 2014* (concluded) Province of death occurrence
North West
Age
District municipality of death occurrence
0
1–14
15–44
45–64
65+
Unsp.
Total
Bojanala
657
388
3 274
3 206
3 724
31
11 280
Dr Kenneth Kaunda
552
242
2 251
2 484
2 445
29
8 003
Dr Ruth Segomotsi Mompati
537
293
1 440
1 474
1 735
4
5 483
Ngaka Modiri Molema
720
416
2 513
2 624
2 766
14
9 053
80
58
349
272
354
1
1 114
Total
2 546
1 397
9 827
10 060
11 024
79
34 933
City of Johannesburg
2 131
728
8 743
8 230
9 582
231
29 645
City of Tshwane
1 210
647
6 243
6 673
8 423
25
23 221
Ekurhuleni
1 676
682
7 553
6 759
6 824
64
23 558
Sedibeng
507
220
2 582
2 854
2 951
23
9 137
West Rand
483
223
2 486
2 617
2 727
40
8 576
Unspecified
Gauteng
140
113
981
637
689
39
2 599
6 147
2 613
28 588
27 770
31 196
422
96 736
Ehlanzeni
643
563
4 892
3 589
3 758
42
13 487
Gert Sibande
782
329
3 394
2 723
2 507
24
9 759
Nkangala
554
378
3 191
3 156
3 019
21
10 319
57
70
447
347
513
3
1 437
2 036
1 340
11 924
9 815
9 797
90
35 002
Capricorn
837
593
3 229
3 200
4 414
4
12 277
Greater Sekhukhune
418
408
2 539
2 403
3 471
5
9 244
Unspecified Total
Mpumalanga
Unspecified Total
Limpopo
Foreign
Mopani
816
444
2 566
2 361
2 992
11
9 190
Vhembe
563
463
2 311
2 293
3 600
31
9 261
Waterberg
348
223
1 593
1 324
1 634
10
5 132
Unspecified
162
152
718
619
1 086
8
2 745
Total
3 144
2 283
12 956
12 200
17 197
69
47 849
Total
4
8
229
259
210
3
713
*Excluding deaths with unspecified province of death occurrence.
Mortality and causes of death in South Africa, 2014: Findings from death notification
80
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P0309.3
Appendix I1: Percentage distribution of deaths by age, province and district municipality of death occurrence, 2014 Province of death occurrence
Western Cape
Eastern Cape
District municipality of death occurrence
0
1–14
15–44
45–64
65+
Unsp.
Total
Cape Winelands
3,4
1,7
23,2
33,6
38,0
0,1
100,0
Central Karoo
4,5
1,4
22,7
36,0
35,4
0,0
100,0
City of Cape Town
4,4
1,9
26,9
29,2
37,5
0,1
100,0
Eden
3,7
1,6
20,0
32,2
42,4
0,0
100,0
Overberg
3,8
1,3
19,4
28,2
47,2
0,1
100,0
West Coast
3,0
1,4
24,0
33,7
37,8
0,0
100,0
Unspecified
3,7
3,7
28,4
26,8
37,2
0,2
100,0
Total
4,1
1,8
25,0
30,5
38,5
0,1
100,0
Alfred Nzo
4,1
4,4
32,0
22,7
36,6
0,2
100,0
Amathole
2,7
2,8
25,4
26,2
42,7
0,2
100,0
Buffalo City
3,4
2,5
28,5
29,7
35,8
0,1
100,0
Cacadu
3,5
1,8
26,5
33,1
34,9
0,2
100,0
Chris Hani
4,3
2,9
28,2
26,8
37,7
0,1
100,0
Joe Gqabi
3,9
3,3
29,0
28,1
35,5
0,2
100,0
Nelson Mandela Bay
4,2
2,0
27,1
32,1
34,5
0,1
100,0
O.R.Tambo
3,9
5,1
36,1
23,3
31,5
0,1
100,0
Unspecified
2,5
3,6
25,6
26,6
41,6
0,1
100,0
Total
3,7
3,2
29,5
27,3
36,2
0,2
100,0
Frances Baard
6,0
3,5
25,0
32,7
32,5
0,3
100,0
11,3
5,0
30,2
27,9
25,5
0,1
100,0
Namakwa
4,2
1,0
17,0
34,2
43,5
0,1
100,0
Pixley ka Seme
5,8
3,1
28,7
31,8
30,6
0,1
100,0
John Taolo Gaetsewe Northern Cape
Siyanda Unspecified Total
Free State
KwaZulu-Natal
Age
6,3
2,6
28,5
32,6
30,0
0,0
100,0
10,9
3,8
33,2
21,3
30,8
0,0
100,0
6,9
3,3
27,0
31,5
31,1
0,1
100,0
Fezile Dabi
5,4
3,0
26,4
31,0
34,0
0,1
100,0
Lejweleputswa
7,3
2,8
30,1
31,4
28,1
0,2
100,0
Mangaung
5,2
2,7
28,8
30,3
32,8
0,1
100,0
Thabo Mofutsanyane
7,2
3,4
30,0
29,6
29,6
0,3
100,0
Xhariep
5,8
3,4
30,3
29,8
30,5
0,2
100,0
Unspecified
5,8
5,4
28,0
26,7
33,6
0,4
100,0
Total
6,3
3,0
29,1
30,4
31,0
0,2
100,0
Amajuba
9,4
3,9
29,8
25,9
30,7
0,3
100,0
eThekwini
4,6
2,8
33,0
28,6
30,7
0,2
100,0
iLembe
5,3
4,1
31,6
25,4
33,1
0,4
100,0
Sisonke
4,6
4,4
32,7
24,9
33,3
0,1
100,0
Ugu
4,5
3,5
32,3
24,8
34,7
0,2
100,0
uMgungundlovu
4,1
2,5
30,1
28,3
34,9
0,1
100,0
uMkhanyakude
6,5
4,6
33,1
23,7
32,0
0,1
100,0
uMzinyathi
7,2
3,9
30,5
26,5
31,5
0,3
100,0
uThukela
4,7
3,2
34,7
28,0
29,2
0,2
100,0
uThungulu
8,2
3,6
34,3
24,8
28,6
0,4
100,0
Zululand
8,4
4,3
33,7
24,0
29,4
0,2
100,0
Unspecified
3,5
4,3
30,6
24,7
36,8
0,2
100,0
Total
5,6
3,5
32,5
26,4
31,8
0,2
100,0
Mortality and causes of death in South Africa, 2014: Findings from death notification
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P0309.3
Appendix I1: Percentage distribution of deaths by age, province and district municipality of death occurrence, 2014 (concluded) Province of death occurrence
North West
Gauteng
Mpumalanga
Limpopo
Foreign
District municipality of death occurrence
Age 0
1–14
15–44
45–64
65+
Unsp.
Total
Bojanala
5,8
3,4
29,0
28,4
33,0
0,3
100,0
Dr Kenneth Kaunda
6,9
3,0
28,1
31,0
30,6
0,4
100,0
Dr Ruth Segomotsi Mompati
9,8
5,3
26,3
26,9
31,6
0,1
100,0
Ngaka Modiri Molema
8,0
4,6
27,8
29,0
30,6
0,2
100,0
Unspecified
7,2
5,2
31,3
24,4
31,8
0,1
100,0
Total
7,3
4,0
28,1
28,8
31,6
0,2
100,0
City of Johannesburg
7,2
2,5
29,5
27,8
32,3
0,8
100,0
City of Tshwane
5,2
2,8
26,9
28,7
36,3
0,1
100,0
Ekurhuleni
7,1
2,9
32,1
28,7
29,0
0,3
100,0
Sedibeng
5,5
2,4
28,3
31,2
32,3
0,3
100,0
West Rand
5,6
2,6
29,0
30,5
31,8
0,5
100,0
Unspecified
5,4
4,3
37,7
24,5
26,5
1,5
100,0
Total
6,4
2,7
29,6
28,7
32,2
0,4
100,0
Ehlanzeni
4,8
4,2
36,3
26,6
27,9
0,3
100,0
Gert Sibande
8,0
3,4
34,8
27,9
25,7
0,2
100,0
Nkangala
5,4
3,7
30,9
30,6
29,3
0,2
100,0
Unspecified
4,0
4,9
31,1
24,1
35,7
0,2
100,0
Total
5,8
3,8
34,1
28,0
28,0
0,3
100,0
Capricorn
6,8
4,8
26,3
26,1
36,0
0,0
100,0
Greater Sekhukhune
4,5
4,4
27,5
26,0
37,5
0,1
100,0
Mopani
8,9
4,8
27,9
25,7
32,6
0,1
100,0
Vhembe
6,1
5,0
25,0
24,8
38,9
0,3
100,0
Waterberg
6,8
4,3
31,0
25,8
31,8
0,2
100,0
Unspecified
5,9
5,5
26,2
22,6
39,6
0,3
100,0
Total
6,6
4,8
27,1
25,5
35,9
0,1
100,0
Total
0,6
1,1
32,1
36,3
29,5
0,4
100,0
Mortality and causes of death in South Africa, 2014: Findings from death notification
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Appendix J: Number of deaths by sex, province and district municipality of death occurrence, 2014* Sex Province of death occurrence
District municipality of death occurrence
Male
Female
Unspecified
Total
Sex ratio at death**
Cape Winelands
3 500
2 818
15
6 333
124
348
361
0
709
96
Central Karoo City of Cape Town Western Cape
14 926
12 118
83
27 127
123
Eden
2 633
2 212
9
4 854
119
Overberg
1 054
822
1
1 877
128
West Coast
1 469
1 101
5
2 575
133
Unspecified
325
220
545
148
24 255
19 652
113
44 020
123
2 407
2 509
15
4 931
96
Amathole
5 834
5 266
25
11 125
111
Buffalo City
4 486
4 121
31
8 638
109
Total Alfred Nzo
Eastern Cape
Cacadu
1 915
1 634
10
3 559
117
Chris Hani
4 500
4 216
17
8 733
107
Joe Gqabi
2 224
2 028
8
4 260
110
Nelson Mandela Bay
5 303
4 831
23
10 157
110
O.R.Tambo
6 962
7 007
29
13 998
99
Unspecified Total
1 152
111
66 553
106
2 137
1 973
26
4 136
108
1 405
1 246
2
2 653
113
661
490
2
1 153
135
Pixley ka Seme
1 557
1 472
12
3 041
106
Siyanda
1 507
1 350
5
2 862
112
Total
115
94
2
211
122
7 382
6 625
49
14 056
111
Fezile Dabi
2 865
2 514
6
5 385
114
Lejweleputswa
3 855
3 355
31
7 241
115
Mangaung
4 693
4 149
37
8 879
113
Thabo Mofutsanyane
4 550
4 379
25
8 954
104
Xhariep
1 103
938
10
2 051
118
Unspecified Total Amajuba
KwaZulu-Natal
4 162
Frances Baard
Unspecified
Free State
545 32 157
John Taolo Gaetsewe Namakwa Northern Cape
603 34 234
268
265
2
535
101
17 334
15 600
111
33 045
111
1 483
1 336
8
2 827
111
eThekwini
8 645
7 915
44
16 604
109
iLembe
2 197
2 144
25
4 366
102
Sisonke
2 189
2 157
3
4 349
101
Ugu
4 014
3 744
24
7 782
107
uMgungundlovu
5 504
5 253
27
10 784
105
uMkhanyakude
1 775
1 673
23
3 471
106
uMzinyathi
2 283
2 211
21
4 515
103
uThukela
4 001
3 883
20
7 904
103
uThungulu
3 970
3 775
26
7 771
105
Zululand
2 912
2 944
25
5 881
99
Unspecified
1 459
1 417
8
2 884
103
40 432
38 452
254
79 138
105
Total *Excluding deaths with unspecified province of death occurrence. ** Male deaths per 100 female deaths.
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Appendix J: Number of deaths by sex, province and district municipality of death occurrence, 2014* (concluded) Province of death occurrence
North West
Male
Female
Unspecified
Total
Sex ratio at death**
Bojanala
6 068
5 171
41
11 280
117
Dr Kenneth Kaunda
4 322
3 655
26
8 003
118
Dr Ruth Segomotsi Mompati
2 896
2 569
18
5 483
113
Ngaka Modiri Molema
4 857
4 156
40
9 053
117
Unspecified
Gauteng
626
483
5
1 114
130
Total
18 769
16 034
130
34 933
117
City of Johannesburg
15 658
13 654
333
29 645
115
City of Tshwane
12 067
11 045
109
23 221
109
Ekurhuleni
12 322
11 064
172
23 558
111
Sedibeng
4 930
4 156
51
9 137
119
West Rand
4 696
3 805
75
8 576
123
Unspecified
1 513
1 035
51
2 599
146
Total
Mpumalanga
51 186
44 759
791
96 736
114
Ehlanzeni
6 899
6 536
52
13 487
106
Gert Sibande
5 116
4 624
19
9 759
111
Nkangala
5 490
4 785
44
10 319
115
739
692
6
1 437
107
18 244
16 637
121
35 002
110
Capricorn
6 202
6 055
20
12 277
102
Greater Sekhukhune
4 486
4 745
13
9 244
95
Unspecified Total
Limpopo
Mopani
4 507
4 657
26
9 190
97
Vhembe
4 394
4 838
29
9 261
91
Waterberg
2 677
2 440
15
5 132
110
Unspecified
1 367
1 367
11
2 745
100
23 633
24 102
114
47 849
98
447
264
2
713
169
Total Foreign
Sex
District municipality of death occurrence
Unspecified
*Excluding deaths with unspecified province of death occurrence. ** Male deaths per 100 female deaths
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Appendix K: All underlying causes of death, 2014 Causes of death (based on the 10th revision, International Classification of Disease, 1992)
Number
Percentage
All causes
453 360
100,0
Ill-defined and unknown causes of mortality (R95-R99)
54 152
11,9
Tuberculosis (A15-A19)
37 878
8,4
Other external causes of accidental injury (W00-X59)
26 056
5,7
Cerebrovascular diseases (I60-I69)
23 088
5,1
Diabetes mellitus (E10-E14)
22 747
5,0
Influenza and pneumonia (J09-J18)
22 036
4,9
Human immunodeficiency virus [HIV] disease (B20-B24)
21 938
4,8
Other forms of heart disease (I30-I52)
21 339
4,7
Hypertensive diseases (I10-I15)
17 770
3,9
Intestinal infectious diseases (A00-A09)
14 471
3,2
Other viral diseases (B25-B34)
13 996
3,1
Chronic lower respiratory diseases (J40-J47)
12 096
2,7
Ischaemic heart diseases (I20-I25)
10 916
2,4
Malignant neoplasms of digestive organs (C15-C26)
9 636
2,1
Event of undetermined intent (Y10-Y34)
8 176
1,8
Certain disorders involving the immune mechanism (D80-D89)
6 938
1,5
Renal failure (N17-N19)
6 848
1,5
Transport accidents (V01-V99)
5 926
1,3
Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)
5 771
1,3
Other bacterial diseases (A30-A49)
5 678
1,3
Assault (X85-Y09)
5 314
1,2
Malignant neoplasms of female genital organs (C51-C58)
4 913
1,1
Other acute lower respiratory infections (J20-J22)
4 589
1,0
Diseases of liver (K70-K77)
4 173
0,9
Inflammatory diseases of the central nervous system (G00-G09)
3 810
0,8
Other diseases of the respiratory system (J95-J99)
3 803
0,8
Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29)
3 717
0,8
Malignant neoplasms of ill-defined, secondary and unspecified sites (C76-C80)
3 456
0,8
Episodic and paroxysmal disorders (G40-G47)
3 207
0,7
Malignant neoplasms of breast (C50)
3 186
0,7
Metabolic disorders (E70-E90) Malignant neoplasms, stated or presumed to be primary, of lymphoid, haematopoietic and related tissue (C81-C96)
2 938
0,6
2 852
0,6
Malignant neoplasms of male genital organs (C60-C63)
2 827
0,6
General symptoms and signs (R50-R69)
2 616
0,6
Protozoal diseases (B50-B64)
2 598
0,6
Pulmonary heart disease and diseases of pulmonary circulation (I26-I28)
2 525
0,6
Diseases of oesophagus, stomach and duodenum (K20-K31)
2 095
0,5
Aplastic and other anaemias (D60-D64)
2 014
0,4
Malnutrition (E40-E46)
1 879
0,4
Complications of medical and surgical care (Y40-Y84)
1 660
0,4
Non-infective enteritis and colitis (K50-K52)
1 503
0,3
Other diseases of intestines (K55-K63)
1 471
0,3
Diseases of arteries, arterioles and capillaries (I70-I79)
1 449
0,3
Other disorders originating in the perinatal period (P90-P96)
1 346
0,3
Other respiratory diseases principally affecting the interstitium (J80-J84)
1 320
0,3
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Appendix K: All underlying causes of death, 2014 (continued) Causes of death (based on the 10th revision, International Classification of Disease, 1992)
Number
Percentage
All causes
453 360
100,0
Organic, including symptomatic, mental disorders (F00-F09)
1 260
0,3
Other disorders of glucose regulation and pancreatic internal secretion (E15-E16)
1 243
0,3
Malignant neoplasms of mesothelial and soft tissue (C45-C49)
1 222
0,3
Disorders related to length of gestation and fetal growth (P05-P08)
1 217
0,3
Infections specific to the perinatal period (P35-P39)
1 212
0,3
Neoplasms of uncertain or unknown behaviour (D37-D48)
1 128
0,2
Other diseases of the digestive system (K90-K93)
1 079
0,2
Malignant neoplasms of lip, oral cavity and pharynx (C00-C14) Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
1 035
0,2
950
0,2
Malignant neoplasms of urinary tract (C64-C68)
947
0,2
Disorders of gallbladder, biliary tract and pancreas (K80-K87)
944
0,2
Other disorders of the nervous system (G90-G99)
849
0,2
Other degenerative diseases of the nervous system (G30-G32)
786
0,2
Cerebral palsy and other paralytic syndromes (G80-G83)
776
0,2
Lung diseases due to external agents (J60-J70)
709
0,2
Mycoses (B35-B49)
706
0,2
Arthropathies (M00-M25)
694
0,2
Sequelae of infectious and parasitic diseases (B90-B94)
693
0,2
Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified (I80-I89)
681
0,2
Congenital malformations of the circulatory system (Q20-Q28)
661
0,1
Malignant neoplasms of skin (C43-C44)
623
0,1
Intentional self-harm (X60-X84)
585
0,1
Malignant neoplasms of eye, brain and other parts of central nervous system (C69-C72)
541
0,1
Glomerular diseases (N00-N08)
501
0,1
Malignant neoplasms of independent (primary) multiple sites (C97)
486
0,1
Haemorrhagic and haematological disorders of fetus and newborn (P50-P61)
470
0,1
Mental and behavioural disorders due to psychoactive substance use (F10-F19)
450
0,1
Coagulation defects, purpura and other haemorrhagic conditions (D65-D69)
440
0,1
Other congenital malformations (Q80-Q89)
432
0,1
Systemic connective tissue disorders (M30-M36)
401
0,1
Obesity and other hyperalimentation (E65-E68)
397
0,1
Infections of the skin and subcutaneous tissue (L00-L08)
377
0,1
Other diseases of pleura (J90-J94)
365
0,1
Other diseases of urinary system (N30-N39)
354
0,1
Other obstetric conditions, not elsewhere classified (O95-O99)
350
0,1
Digestive system disorders of fetus and newborn (P75-P78)
348
0,1
Extrapyramidal and movement disorders (G20-G26)
344
0,1
Soft tissue disorders (M60-M79)
322
0,1
Chromosomal abnormalities, not elsewhere classified (Q90-Q99)
304
0,1
Chronic rheumatic heart diseases (I05-I09)
300
0,1
Disorders of thyroid gland (E00-E07)
291
0,1
Diseases of male genital organs (N40-N51)
283
0,1
Viral hepatitis (B15-B19)
282
0,1
Other disorders of kidney and ureter (N25-N29)
272
0,1
Other disorders of the skin and subcutaneous tissue (L80-L99)
271
0,1
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Appendix K: All underlying causes of death, 2014 (continued) Causes of death (based on the 10th revision, International Classification of Disease, 1992)
Number
Percentage
All causes
453 360
100,0
Renal tubulo-interstitial diseases (N10-N16)
268
0,1
Congenital malformations of the nervous system (Q00-Q07)
258
0,1
Hernia (K40-K46)
231
0,1
Suppurative and necrotic conditions of lower respiratory tract (J85-J86)
221
0,0
Diseases of peritoneum (K65-K67)
218
0,0
Schizophrenia, schizotypal and delusional disorders (F20-F29) Oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium (O10-O16)
203
0,0
201
0,0
Benign neoplasms (D10-D36)
196
0,0
Systemic atrophies primarily affecting the central nervous system (G10-G13)
187
0,0
Malignant neoplasms of thyroid and other endocrine glands (C73-C75)
184
0,0
Viral infections characterized by skin and mucous membrane lesions (B00-B09)
182
0,0
Other congenital malformations of the digestive system (Q38-Q45)
173
0,0
Other and unspecified disorders of the circulatory system (I95-I99)
165
0,0
Acute upper respiratory infections (J00-J06)
149
0,0
Diseases of appendix (K35-K38)
145
0,0
Complications predominantly related to the puerperium (O85-O92)
138
0,0
Polyneuropathies and other disorders of the peripheral nervous system (G60-G64)
136
0,0
Complications of labour and delivery (O60-O75)
134
0,0
Malignant neoplasms of bone and articular cartilage (C40-C41)
133
0,0
Non-inflammatory disorders of female genital tract (N80-N98)
129
0,0
Congenital malformations and deformations of the musculoskeletal system (Q65-Q79)
127
0,0
Osteopathies and chondropathies (M80-M94)
122
0,0
Viral infections of the central nervous system (A80-A89)
117
0,0
Disorders of other endocrine glands (E20-E35)
104
0,0
Pregnancy with abortive outcome (O00-O08)
103
0,0
Diseases of myoneural junction and muscle (G70-G73)
96
0,0
Other diseases of upper respiratory tract (J30-J39)
93
0,0
Inflammatory diseases of female pelvic organs (N70-N77)
89
0,0
Urticaria and erythema (L50-L54)
85
0,0
Infections with a predominantly sexual mode of transmission (A50-A64)
84
0,0
Helminthiases (B65-B83)
83
0,0
Other diseases of blood and blood-forming organs (D70-D77)
81
0,0
Congenital malformations of the respiratory system (Q30-Q34)
81
0,0
Dorsopathies (M40-M54)
78
0,0
Conditions involving the integument and temperature regulation of fetus and newborn (P80-P83)
76
0,0
Demyelinating diseases of the central nervous system (G35-G37)
73
0,0
Congenital malformations of the urinary system (Q60-Q64)
70
0,0
Diseases of oral cavity, salivary glands and jaws (K00-K14)
69
0,0
Other infectious diseases (B99)
62
0,0
Nutritional anaemias (D50-D53)
61
0,0
Haemolytic anaemias (D55-D59)
60
0,0
Other maternal disorders predominantly related to pregnancy (O20-O29)
58
0,0
Diseases of middle ear and mastoid (H65-H75)
52
0,0
Sequelae of external causes of morbidity and mortality (Y85-Y89)
44
0,0
Other nutritional deficiencies (E50-E64)
43
0,0
Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)
43
0,0
Mood [affective] disorders (F30-F39)
33
0,0
Dermatitis and eczema (L20-L30)
31
0,0
Arthropod-borne viral fevers and viral haemorrhagic fevers (A90-A99)
26
0,0
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Appendix K: All underlying causes of death, 2014 (concluded) Causes of death (based on the 10th revision, International Classification of Disease, 1992)
Number
Percentage
All causes
453 360
100,0
Acute rheumatic fever (I00-I02)
25
0,0
Bullous disorders (L10-L14)
23
0,0
Disorders of breast (N60-N64)
22
0,0
Cleft lip and cleft palate (Q35-Q37)
19
0,0
Birth trauma (P10-P15)
17
0,0
Neurotic, stress-related and somatoform disorders (F40-F48)
16
0,0
Unspecified mental disorder (F99)
12
0,0
Nerve, nerve root and plexus disorders (G50-G59)
10
0,0
Transitory endocrine and metabolic disorders specific to fetus and newborn (P70-P74)
10
0,0
9
0,0
Congenital malformations of eye, ear, face and neck (Q10-Q18) Behavioural syndromes associated with physiological disturbances and physical factors (F50-F59)
8
0,0
Other spirochaetal diseases (A65-A69)
7
0,0
Rickettsioses (A75-A79)
7
0,0
In situ neoplasms (D00-D09)
7
0,0
Mental retardation (F70-F79) Behavioural and emotional disorders with onset usually occurring in childhood and adolescence (F90-F98)
6
0,0
6
0,0
Urolithiasis (N20-N23)
6
0,0
Certain zoonotic bacterial diseases (A20-A28)
5
0,0
Symptoms and signs involving the urinary system (R30-R39)
5
0,0
Disorders of sclera, cornea, iris and ciliary body (H15-H22)
4
0,0
Visual disturbances and blindness (H53-H54) Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis (R83-R89)
4
0,0
4
0,0
Pediculosis, acariasis and other infestations (B85-B89)
3
0,0
Papulosquamous disorders (L40-L45)
3
0,0
Congenital malformations of genital organs (Q50-Q56)
3
0,0
Disorders of adult personality and behaviour (F60-F69)
2
0,0
Disorders of eyelid, lacrimal system and orbit (H00-H06)
2
0,0
Disorders of lens (H25-H28)
2
0,0
Glaucoma (H40-H42)
2
0,0
Disorders of skin appendages (L60-L75)
2
0,0
Other disorders of the musculoskeletal system and connective tissue (M95-M99)
2
0,0
Symptoms and signs involving the circulatory and respiratory systems (R00-R09)
2
0,0
Symptoms and signs involving the nervous and musculoskeletal systems (R25-R29)
2
0,0
Abnormal findings on examination of blood, without diagnosis (R70-R79)
2
0,0
Other diseases caused by chlamydiae (A70-A74)
1
0,0
Disorders of choroid and retina (H30-H36)
1
0,0
Disorders of ocular muscles, binocular movement, accommodation and refraction (H49-H52)
1
0,0
Diseases of external ear (H60-H62)
1
0,0
Other disorders of ear (H90-H95)
1
0,0
Radiation-related disorders of the skin and subcutaneous tissue (L55-L59)
1
0,0
Symptoms and signs involving the skin and subcutaneous tissue (R20-R23)
1
0,0
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Appendix L: Detailed description of the broad groups of natural causes of death which were among the ten leading causes in 2014 Causes of death (based on ICD-10)
Number
Percentage
Intestinal infectious diseases (A00-A09) A00
Cholera (A00)
1
0,0
A01
Typhoid and paratyphoid fevers (A01)
7
0,0
A02
Other salmonella infections (A02)
A03
Shigellosis (A03)
A04
Other bacterial intestinal infections (A04)
A05
Other bacterial foodborne intoxications (A05)
A06
Amoebiasis (A06)
13
0,1
7
0,0
18
0,1
1
0,0
14
0,1
A07
Other protozoal intestinal diseases (A07)
19
0,1
A08
Viral and other specified intestinal infections (A08)
20
0,1
A09
Diarrhoea and gastroenteritis of presumed infectious origin (A09)
14 371
99,3
Total
14 471
100,0
29 524
77,9
2 182
5,8
Tuberculosis (A15-A19) A16
Respiratory tuberculosis, not confirmed bacteriologically or histologically (A16)
A17
Tuberculosis of nervous system (A17)
A18
Tuberculosis of other organs (A18)
1 287
3,4
A19
Miliary tuberculosis (A19)
4 029
10,6
779
2,1
77
0,2
37 878
100,0
14 270
65,0
830
3,8
Drug-resistant tuberculosis U51
Multidrug-resistant tuberculosis (U51)
U52
Extensively drug-resistant tuberculosis (U52) Total Human immunodeficiency virus [HIV] disease (B20-B24)
B20 B21
Human immunodeficiency virus [HIV] disease resulting in infectious and parasitic diseases (B20) Human immunodeficiency virus [HIV] disease resulting in malignant neoplasms (B21)
B22
Human immunodeficiency virus [HIV] disease resulting in other specified diseases (B22)
1 233
5,6
B23
Human immunodeficiency virus [HIV] disease resulting in other conditions (B23)
3 268
14,9
B24
Unspecified human immunodeficiency virus [HIV] disease (B24) Total
2 337
10,7
21 938
100,0
64
0,5
Other viral diseases (B25-B34) B25
Cytomegaloviral disease (B25)
B26
Mumps (B26)
1
0,0
B27
Infectious mononucleosis (B27)
1
0,0
B30
Viral conjunctivitis (B30)
B33
Other viral diseases, not elsewhere classified (B33)
B34
Viral infection of unspecified site (B34) Total
2
0,0
13 792
98,5
136
1,0
13 996
100,0
264
1,2
Diabetes mellitus (E10-E14) E10
Insulin-dependent diabetes mellitus (E10)
E11
Non-insulin-dependent diabetes mellitus (E11)
E12
Malnutrition-related diabetes mellitus (E12)
E14
Unspecified diabetes mellitus (E14)
20 999
92,3
Total
22 747
100,0
1 478
6,5
6
0,0
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Appendix L: Detailed description of the broad groups of natural causes of death which were among the ten leading causes in 2014 (continued) Causes of death (based on ICD-10)
Number
Percentage
Hypertensive disease (I10-I15) I10
Essential (primary) hypertension (I10)
8 652
48,7
I11
Hypertensive heart disease (I11)
7 047
39,7
I12
Hypertensive renal disease (I12)
1 670
9,4
I13
Hypertensive heart and renal disease (I13) Total
401
2,3
17 770
100,0
Other forms of heart disease (I30-I52) I30
Acute pericarditis (I30)
I31
Other diseases of pericardium (I31)
11
0,1
106
0,5
I33
Acute and subacute endocarditis (I33)
54
0,3
I34 I35
Nonrheumatic mitral valve disorders (I34)
106
0,5
Nonrheumatic aortic valve disorders (I35)
209
1,0
I36
Nonrheumatic tricuspid valve disorders (I36)
2
0,0
I37
Pulmonary valve disorders (I37)
3
0,0
I38
Endocarditis, valve unspecified (I38)
189
0,9
I40
Acute myocarditis (I40)
I42
Cardiomyopathy (I42)
28
0,1
2 762
12,9
I44 I45
Atrioventricular and left bundle-branch block (I44)
28
0,1
Other conduction disorders (I45)
53
0,2
I46
Cardiac arrest (I46)
I47
Paroxysmal tachycardia (I47)
3 673
17,2
33
0,2
I48
Atrial fibrillation and flutter (I48)
512
2,4
I49
Other cardiac arrhythmias (I49)
I50
Heart failure (I50)
I51
Complications and ill-defined descriptions of heart disease (I51) Total
269
1,3
12 297
57,6
1 004
4,7
21 339
100,0
394
1,7
1 543
6,7
784
3,4
Cerebrovascular disease (I60-I69) I60
Subarachnoid haemorrhage (I60)
I61
Intracerebral haemorrhage (I61)
I62
Other nontraumatic intracranial haemorrhage (I62)
I63
Cerebral infarction (I63)
I64
Stroke, not specified as haemorrhage or infarction (I64)
448
1,9
18 929
82,0
I67
Other cerebrovascular diseases (I67)
654
2,8
I69
Sequelae of cerebrovascular disease (I69)
336
1,5
23 088
100,0
Total Influenza and pneumonia (J09-J18) J10
Influenza due to identified influenza virus (J10)
J11
Influenza, virus not identified (J11)
23
0,1
453
2,1
J12
Viral pneumonia, not elsewhere classified (J12)
25
0,1
J13
Pneumonia due to Streptococcus pneumoniae (J13)
5
0,0
J14
Pneumonia due to Haemophilus influenzae (J14)
1
0,0
J15
Bacterial pneumonia, not elsewhere classified (J15)
78
0,4
J18
Pneumonia, organism unspecified (J18)
21 451
97,3
Total
22 036
100,0
Mortality and causes of death in South Africa, 2014: Findings from death notification
90
Statistics South Africa
P0309.3
Appendix L: Detailed description of the broad groups of natural causes of death which were among the ten leading causes in 2014 (concluded) Causes of death (based on ICD-10)
Number
Percentage
Chronic lower respiratory diseases (J40-J47) J40
Bronchitis, not specified as acute or chronic (J40)
312
2,6
J42
Unspecified chronic bronchitis (J42)
233
1,9
J43
Emphysema (J43)
798
6,6
J44
Other chronic obstructive pulmonary disease (J44)
6 729
55,6
J45
Asthma (J45)
3 040
25,1
J46
Status asthmaticus (J46)
798
6,6
J47
Bronchiectasis (J47)
186
1,5
12 096
100,0
Total
Mortality and causes of death in South Africa, 2014: Findings from death notification
91
13 996
12 096
198 240
47 761
453 360
Human immunodeficiency virus [HIV] disease (B20-B24)
Other forms of heart disease (I30-I52)
Hypertensive diseases (I10-I15)
Intestinal infectious diseases (A00-A09)
Other viral diseases (B25-B34)
Chronic lower respiratory diseases (J40-J47)
Other natural causes
Non natural causes
All causes
5
6
7
8
9
10
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
Malnutrition (E40-E46)
Other acute lower respiratory infections (J20-J22)
Haemorrhagic and haematological disorders of fetus and newborn (P50-P61)
6
7
8
9
10
470
480
866
938
1 210
1 211
Human immunodeficiency virus [HIV] disease (B20-B24)
Other viral diseases (B25-B34)
Inflammatory diseases of the central nervous system (G00-G09)
Other forms of heart disease (I30-I52)
Cerebral palsy and other paralytic syndromes (G80-G83)
Other acute lower respiratory infections (J20-J22)
5
6
7
8
9
10
212
251
268
289
341
412
686
*Including deaths due to MDR-TB and XDR-TB.
All causes
14 854
3 548
Tuberculosis (A15-A19)*
4
785
1 118
Non-natural causes
Malnutrition (E40-E46)
3
5 127
Influenza and pneumonia (J09-J18)
2
1 817
No.
25 643
Other natural causes
Intestinal infectious diseases (A00-A09)
1
South Africa both sexes, 1-14
All causes
905
Disorders related to length of gestation and fetal growth (P05-P08)
5
1 345
Non-natural causes
Infections specific to the perinatal period (P35-P39)
4
3 316
2 301
8 894
Other disorders originating in the perinatal period (P90-P96)
3
3 707
No.
17 770
21 339
21 938
22 036
Other natural causes
Intestinal infectious diseases (A00-A09)
Influenza and pneumonia (J09-J18)
2
Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29)
1
South Africa, both sexes, 0
14 471
Influenza and pneumonia (J09-J18)
4
22 747
23 088
Cerebrovascular diseases (I60-I69)
Diabetes mellitus (E10-E14)
3
No. 37 878
2
South Africa, both sexes, all ages Tuberculosis (A15-A19)*
1
100,0
23,9
34,5
1,4
1,7
1,8
1,9
2,3
2,8
4,6
5,3
7,5
12,2
%
100,0
3,5
34,7
1,8
1,9
3,4
3,7
4,7
4,7
5,2
9,0
12,9
14,5
%
100,0
10,5
43,7
2,7
3,1
3,2
3,9
4,7
4,8
4,9
5,0
5,1
% 8,4
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
All causes
Non-natural causes
Other natural causes
Other acute lower respiratory infections (J20-J22)
Other forms of heart disease (I30-I52)
Inflammatory diseases of the central nervous system (G00-G09)
Cerebral palsy and other paralytic syndromes (G80-G83)
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
Malnutrition (E40-E46)
Influenza and pneumonia (J09-J18)
Intestinal infectious diseases (A00-A09)
South Africa, males, 1-14
All causes
Non-natural causes
Other natural causes
Other acute lower respiratory infections (J20-J22)
Haemorrhagic and haematological disorders of fetus and newborn (P50-P61)
Malnutrition (E40-E46)
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
Disorders related to length of gestation and fetal growth (P05-P08)
Infections specific to the perinatal period (P35-P39)
Other disorders originating in the perinatal period (P90-P96)
Influenza and pneumonia (J09-J18)
Intestinal infectious diseases (A00-A09)
Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29)
South Africa, males, 0
All causes
Non natural causes
Other natural causes
Hypertensive diseases (I10-I15)
Intestinal infectious diseases (A00-A09)
Other viral diseases (B25-B34)
Chronic lower respiratory diseases (J40-J47)
Diabetes mellitus (E10-E14)
Other forms of heart disease (I30-I52)
Cerebrovascular diseases (I60-I69)
Human immunodeficiency virus [HIV] disease (B20-B24)
Influenza and pneumonia (J09-J18)
South Africa, males, all ages Tuberculosis (A15-A19)*
100,0
27,0
32,2
1,3
1,6
1,8
1,9
2,4
2,7
4,6
5,2
7,2
12,3
%
100,0
3,4
34,1
1,9
2,1
3,4
3,5
4,8
4,9
5,4
8,5
13,2
14,8
%
100,0
15,3
41,9
2,8
2,9
2,9
3,1
3,8
4,2
4,2
4,7
4,7
% 9,5
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
All causes
Non-natural causes
Other natural causes
Other acute lower respiratory infections (J20-J22)
Other bacterial diseases (A30-A49)
Other forms of heart disease (I30-I52)
Inflammatory diseases of the central nervous system (G00-G09)
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
Malnutrition (E40-E46)
Influenza and pneumonia (J09-J18)
Intestinal infectious diseases (A00-A09)
South Africa, females, 1-14
All causes
Non-natural causes
Other natural causes
Other acute lower respiratory infections (J20-J22)
Other bacterial diseases (A30-A49)
Malnutrition (E40-E46)
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
Infections specific to the perinatal period (P35-P39)
Disorders related to length of gestation and fetal growth (P05-P08)
Other disorders originating in the perinatal period (P90-P96)
Influenza and pneumonia (J09-J18)
Intestinal infectious diseases (A00-A09)
Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29)
South Africa, females, 0
All causes
Non natural causes
Other natural causes
Malignant neoplasms of female genital organs (C51-C58)
Other viral diseases (B25-B34)
Intestinal infectious diseases (A00-A09)
Human immunodeficiency virus [HIV] disease (B20-B24)
Influenza and pneumonia (J09-J18)
Hypertensive diseases (I10-I15)
Other forms of heart disease (I30-I52)
Cerebrovascular diseases (I60-I69)
Diabetes mellitus (E10-E14)
South Africa, females, all ages Tuberculosis (A15-A19)*
6 678
1 347
2 482
103
108
141
145
149
190
315
357
532
809
No.
11 618
413
4 118
214
222
394
433
525
526
548
1 126
1 494
1 605
No.
214 826
11 017
98 205
4 913
7 019
7 607
10 685
10 739
11 081
11 418
13 149
13 819
No. 15 174
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
8 099
2 184
2 610
109
126
142
151
191
220
370
419
584
993
No.
13 529
466
4 608
258
282
466
474
648
661
731
1 147
1 791
1 997
No.
236 613
36 307
99 026
6 670
6 795
6 913
7 300
8 914
9 872
9 908
11 160
11 203
No. 22 545
Appendix M: The ten leading underlying natural causes of death by age and sex: South Africa, 2014
Statistics South Africa
100,0
20,2
37,2
1,5
1,6
2,1
2,2
2,2
2,8
4,7
5,3
8,0
12,1
%
100,0
3,6
35,4
1,8
1,9
3,4
3,7
4,5
4,5
4,7
9,7
12,9
13,8
%
100,0
5,1
45,7
2,3
3,3
3,5
5,0
5,0
5,2
5,3
6,1
6,4
% 7,1
92
1 987
1 808
Other viral diseases (B25-B34)
Influenza and pneumonia (J09-J18)
Certain disorders involving the immune mechanism (D80-D89)
Intestinal infectious diseases (A00-A09)
Other forms of heart disease (I30-I52)
Inflammatory diseases of the central nervous system (G00-G09)
Cerebrovascular diseases (I60-I69)
Protozoal diseases (B50-B64)
3
4
5
6
7
8
9
10
6 427
12 938
4 790
4 509
Chronic lower respiratory diseases (J40-J47)
Ischaemic heart diseases (I20-I25)
Malignant neoplasms of digestive organs (C15-C26)
Tuberculosis (A15-A19)*
Intestinal infectious diseases (A00-A09)
6
7
8
9
10
4 191
*Including deaths due to MDR-TB and XDR-TB.
150 647
Non-natural causes
All causes
62 877
Other natural causes
3 375
6 596
6 607
6 732
11 781
Hypertensive diseases (I10-I15)
11 852
Influenza and pneumonia (J09-J18)
Other forms of heart disease (I30-I52)
3
5
Diabetes mellitus (E10-E14)
2
14 399
No.
127 374
4
Cerebrovascular diseases (I60-I69)
1
All provinces, both sexes, 65+
All causes
8 683
3 957
4 205
4 330
5 013
5 558
5 898
Non-natural causes
10
8 377
6 790
55 276
Malignant neoplasms of digestive organs (C15-C26)
9
No.
12 860
Other natural causes
Chronic lower respiratory diseases (J40-J47)
Other viral diseases (B25-B34)
8
Influenza and pneumonia (J09-J18)
Other forms of heart disease (I30-I52)
5
Hypertensive diseases (I10-I15)
Human immunodeficiency virus [HIV] disease (B20-B24)
4
7
Cerebrovascular diseases (I60-I69)
3
6
Diabetes mellitus (E10-E14)
2
All provinces, both sexes, 45–64
Tuberculosis (A15-A19)*
1
133 673
Non-natural causes
All causes
39 343
30 000
Other natural causes
1 715
3 073
3 256
4 132
6 267
8 480
14 106
Human immunodeficiency virus [HIV] disease (B20-B24)
2
No.
19 506
Tuberculosis (A15-A19)*
1
South Africa, both sexes, 15-44
100,0
2,8
41,7
2,2
3,0
3,2
4,4
4,4
4,5
7,8
7,9
8,6
9,6
%
100,0
6,8
43,4
3,1
3,3
3,4
3,9
4,4
4,6
5,0
5,3
6,6
10,1
%
100,0
22,4
29,4
1,3
1,4
1,5
2,3
2,4
3,1
4,7
6,3
10,6
14,6
%
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
All causes
Non-natural causes
Other natural causes
Malignant neoplasms of male genital organs (C60-C63)
Malignant neoplasms of digestive organs (C15-C26)
Tuberculosis (A15-A19)*
Influenza and pneumonia (J09-J18)
Ischaemic heart diseases (I20-I25)
Chronic lower respiratory diseases (J40-J47)
Hypertensive diseases (I10-I15)
Diabetes mellitus (E10-E14)
Other forms of heart disease (I30-I52)
Cerebrovascular diseases (I60-I69)
All provinces, males, 65+
All causes
Non-natural causes
Other natural causes
Other viral diseases (B25-B34)
Malignant neoplasms of digestive organs (C15-C26)
Ischaemic heart diseases (I20-I25)
Chronic lower respiratory diseases (J40-J47)
Other forms of heart disease (I30-I52)
Influenza and pneumonia (J09-J18)
Cerebrovascular diseases (I60-I69)
Diabetes mellitus (E10-E14)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
All provinces, males, 45–64
All causes
Non-natural causes
Other natural causes
Episodic and paroxysmal disorders (G40-G47)
Cerebrovascular diseases (I60-I69)
Inflammatory diseases of the central nervous system (G00-G09)
Intestinal infectious diseases (A00-A09)
Other forms of heart disease (I30-I52)
Certain disorders involving the immune mechanism (D80-D89)
Influenza and pneumonia (J09-J18)
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
South Africa, males, all ages, 15-44
%
100,0
3,3
40,9
3,5
3,8
4,3
4,6
5,1
5,8
6,1
7,1
7,2
8,2
%
100,0
8,7
41,9
3,2
3,3
3,3
3,9
4,5
4,6
4,9
4,9
5,0
11,8
%
100,0
32,9
25,1
1,1
1,3
1,3
1,9
2,1
2,5
4,0
5,2
8,8
13,8
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
South Africa, females, all ages, 15-44
All causes
Non-natural causes
Other natural causes
General symptoms and signs (R50-R69)
Intestinal infectious diseases (A00-A09)
Malignant neoplasms of digestive organs (C15-C26)
Chronic lower respiratory diseases (J40-J47)
Ischaemic heart diseases (I20-I25)
Influenza and pneumonia (J09-J18)
Other forms of heart disease (I30-I52)
Hypertensive diseases (I10-I15)
Diabetes mellitus (E10-E14)
Cerebrovascular diseases (I60-I69)
All provinces, females, 65+
All causes
Non-natural causes
Other natural causes
Malignant neoplasms of digestive organs (C15-C26)
Other viral diseases (B25-B34)
Malignant neoplasms of female genital organs (C51-C58)
Influenza and pneumonia (J09-J18)
Other forms of heart disease (I30-I52)
Hypertensive diseases (I10-I15)
Human immunodeficiency virus [HIV] disease (B20-B24)
Cerebrovascular diseases (I60-I69)
Tuberculosis (A15-A19)*
Diabetes mellitus (E10-E14)
All provinces, females, 45–64
All causes
Non-natural causes
Other natural causes
Inflammatory diseases of the central nervous system (G00-G09)
Protozoal diseases (B50-B64)
Malignant neoplasms of female genital organs (C51-C58)
Other forms of heart disease (I30-I52)
Intestinal infectious diseases (A00-A09)
Certain disorders involving the immune mechanism (D80-D89)
Influenza and pneumonia (J09-J18)
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
85 931
2 065
35 173
1 839
2 236
2 309
2 833
3 301
3 729
7 179
7 865
8 316
9 086
No.
52 922
2 180
23 249
1 529
1 840
2 129
2 139
2 527
2 699
2 701
3 165
4 035
4 729
No.
57 480
4 983
19 762
987
1 037
1 126
1 455
1 786
2 267
3 200
4 546
7 365
8 966
No.
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
64 628
2 121
26 428
2 259
2 477
2 785
2 998
3 290
3 772
3 911
4 617
4 666
5 304
No.
74 214
6 478
31 111
2 355
2 423
2 437
2 902
3 356
3 403
3 610
3 643
3 711
8 785
No.
75 516
24 826
18 939
853
944
991
1 453
1 603
1 854
3 034
3 895
6 679
10 445
No.
Appendix M: The ten leading underlying natural causes of death by age and sex: South Africa, 2014 (concluded)
Statistics South Africa
%
100,0
2,4
40,9
2,1
2,6
2,7
3,3
3,8
4,3
8,4
9,2
9,7
10,6
%
100,0
4,1
43,9
2,9
3,5
4,0
4,0
4,8
5,1
5,1
6,0
7,6
8,9
%
100,0
8,7
34,4
1,7
1,8
2,0
2,5
3,1
3,9
5,6
7,9
12,8
15,6
93
2 567
86
82
61
52
Intestinal infectious diseases (A00-A09)
Other disorders originating in the perinatal period (P90-P96)
Infections specific to the perinatal period (P35-P39)
Influenza and pneumonia (J09-J18)
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
Congenital malformations of the circulatory system (Q20-Q28)
Other diseases of the respiratory system (J95-J99)
Other acute lower respiratory infections (J20-J22)
3
4
5
6
7
8
9
10
15
11
Influenza and pneumonia (J09-J18)
Other bacterial diseases (A30-A49)
Other forms of heart disease (I30-I52)
Human immunodeficiency virus [HIV] disease (B20-B24)
Malnutrition (E40-E46)
Malignant neoplasms, stated or presumed to be primary, of lymphoid, haematopoietic and related tissue (C81-C96)
Episodic and paroxysmal disorders (G40-G47)
4
5
5
7
7
9
9
306
792
Non natural causes
All causes
*Including deaths due to MDR-TB and XDR-TB.
243
Other natural causes
11
15
22
22
29
29
37
Cerebral palsy and other paralytic syndromes (G80-G83)
Tuberculosis (A15-A19)*
3
52
No.
2
Intestinal infectious diseases (A00-A09)
All Western Cape, both sexes, 1–14
1
1 786
39
Non natural causes
All causes
715
Other natural causes
50
96
105
136
142
Disorders related to length of gestation and fetal growth (P05-P08)
2
No.
222
Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29)
1
All Western Cape, both sexes, Age 0
44 020
6 031
All causes
Non-natural causes
1 361
1 673
1 930
1 982
2 045
2 447
2 473
2 531
15 974
Other forms of heart disease (I30-I52)
10
No.
3 006
Other natural causes
Hypertensive diseases (I10-I15)
Chronic lower respiratory diseases (J40-J47)
6
9
Ischaemic heart diseases (I20-I25)
5
Malignant neoplasms of digestive organs (C15-C26)
Tuberculosis (A15-A19)*
4
Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)
Cerebrovascular diseases (I60-I69)
3
8
Human immunodeficiency virus [HIV] disease (B20-B24)
2
7
Diabetes mellitus (E10-E14)
1
Western Cape, both sexes, all ages
100,0
38,6
30,7
1,4
1,4
1,9
1,9
2,8
2,8
3,7
3,7
4,7
6,6
%
100,0
2,2
40,0
2,8
2,9
3,4
4,6
4,8
5,4
5,9
7,6
8,0
12,4
%
100,0
13,7
36,3
3,1
3,8
4,4
4,5
4,6
5,6
5,6
5,7
5,8
6,8
%
10
9
7
7
6
5
4
3
2
1
10
8
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
No.
All causes
Non natural causes
Other natural causes
Episodic and paroxysmal disorders (G40-G47)
Human immunodeficiency virus [HIV] disease (B20-B24)
%
100,0
42,2
28,9
1,3
1,5
1,8
1,8
2,0
2,2
3,1
3,5
5,7
6,0
%
100,0
2,0
38,7
3,2
3,3
3,3
4,4
4,6
5,4
6,3
7,1
8,8
12,8
%
100,0
20,2
32,1
2,6
2,7
4,6
4,8
5,0
5,1
5,2
5,2
5,8
6,6
10
9
7
7
6
4
4
2
2
1
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
Western Cape, females, all ages
No.
All causes
Non natural causes
Other natural causes
Malnutrition (E40-E46)
335
112
106
5
6
8 Inflammatory diseases of the central nervous system (G00-G09)
8 Malignant neoplasms of eye, brain and other parts of central nervous system (C69C72)
10
13
13
14
14
26
No.
867
21
361
20
22
29
39
41
46
53
60
72
103
No.
19 652
1 107
8 089
718
734
836
853
874
1 020
1 031
1 288
1 363
1 739
Human immunodeficiency virus [HIV] disease (B20-B24)
Cerebral palsy and other paralytic syndromes (G80-G83)
Other bacterial diseases (A30-A49)
Tuberculosis (A15-A19)*
Influenza and pneumonia (J09-J18)
Other forms of heart disease (I30-I52)
Intestinal infectious diseases (A00-A09)
All Western Cape, females, 1–14
All causes
Non natural causes
Other natural causes
Other acute lower respiratory infections (J20-J22)
Other diseases of the respiratory system (J95-J99)
Congenital malformations of the circulatory system (Q20-Q28)
Infections specific to the perinatal period (P35-P39)
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
Influenza and pneumonia (J09-J18)
Other disorders originating in the perinatal period (P90-P96)
Disorders related to length of gestation and fetal growth (P05-P08)
Intestinal infectious diseases (A00-A09)
Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29)
All Western Cape, females, Age 0
All causes
Non-natural causes
Other natural causes
Other forms of heart disease (I30-I52)
Malignant neoplasms of breast (C50)
Chronic lower respiratory diseases (J40-J47)
Tuberculosis (A15-A19)*
Malignant neoplasms of digestive organs (C15-C26)
Hypertensive diseases (I10-I15)
Ischaemic heart diseases (I20-I25)
Human immunodeficiency virus [HIV] disease (B20-B24)
Cerebrovascular diseases (I60-I69)
Diabetes mellitus (E10-E14)
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
453
191
131
6
7
8
8
Other forms of heart disease (I30-I52)
9
Other bacterial diseases (A30-A49)
10
14
16
26
27
No.
900
18
348
29
30
30
Malignant neoplasms, stated or presumed to be primary, of lymphoid, haematopoietic and related tissue (C81-C96)
Malnutrition (E40-E46)
Influenza and pneumonia (J09-J18)
Tuberculosis (A15-A19)*
Intestinal infectious diseases (A00-A09)
Cerebral palsy and other paralytic syndromes (G80-G83)
All Western Cape, males, 1–14
All causes
Non natural causes
Other natural causes
Other acute lower respiratory infections (J20-J22)
Congenital malformations of the circulatory system (Q20-Q28)
Other diseases of the respiratory system (J95-J99)
40
41
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04) Influenza and pneumonia (J09-J18)
49
57
64
79
115
No.
24 255
4 899
7 791
642
650
1 104
1 166
1 207
1 248
1 266
1 269
1 413
1 600
Other disorders originating in the perinatal period (P90-P96)
Infections specific to the perinatal period (P35-P39)
Intestinal infectious diseases (A00-A09)
Disorders related to length of gestation and fetal growth (P05-P08)
Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29)
All Western Cape, males, Age 0
All causes
Non-natural causes
Other natural causes
Other forms of heart disease (I30-I52)
Hypertensive diseases (I10-I15)
Malignant neoplasms of digestive organs (C15-C26)
Cerebrovascular diseases (I60-I69)
Chronic lower respiratory diseases (J40-J47)
Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)
Diabetes mellitus (E10-E14)
Human immunodeficiency virus [HIV] disease (B20-B24)
Ischaemic heart diseases (I20-I25)
Tuberculosis (A15-A19)*
Western Cape, males, all ages
Appendix M1: The ten leading underlying natural causes of death by age and sex: Western Cape, 2014
Statistics South Africa
%
100,0
33,4
31,6
1,5
1,8
2,4
2,4
3,0
3,9
3,9
4,2
4,2
7,8
%
100,0
2,4
41,6
2,3
2,5
3,3
4,5
4,7
5,3
6,1
6,9
8,3
11,9
%
100,0
5,6
41,2
3,7
3,7
4,3
4,3
4,4
5,2
5,2
6,6
6,9
8,8
94
129 127
Other viral diseases (B25-B34)
Cerebrovascular diseases (I60-I69)
Malignant neoplasms of digestive organs (C15-C26)
Other forms of heart disease (I30-I52)
Influenza and pneumonia (J09-J18)
Diabetes mellitus (E10-E14)
Ischaemic heart diseases (I20-I25)
Chronic lower respiratory diseases (J40-J47)
3
4
5
6
7
8
9
10
%
743 488
Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)
Chronic lower respiratory diseases (J40-J47)
Ischaemic heart diseases (I20-I25)
Malignant neoplasms of digestive organs (C15-C26)
Cerebrovascular diseases (I60-I69)
Human immunodeficiency virus [HIV] disease (B20-B24)
Hypertensive diseases (I10-I15)
Other forms of heart disease (I30-I52)
3
4
5
6
7
8
9
10
Malignant neoplasms of digestive organs (C15-C26)
Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)
Other forms of heart disease (I30-I52)
Influenza and pneumonia (J09-J18)
Malignant neoplasms of male genital organs (C60-C63)
6
7
8
9
10
416
449
844
905
1 023
1 029
*Including deaths due to MDR-TB and XDR-TB.
All causes
16 937
493
Chronic lower respiratory diseases (J40-J47)
5
1 086
Non natural causes
Hypertensive diseases (I10-I15)
4
1 504
1 579
5 836
Ischaemic heart diseases (I20-I25)
3
No.
1 773
Other natural causes
Cerebrovascular diseases (I60-I69)
2
All Western Cape, both sexes, 65+
Diabetes mellitus (E10-E14)
1
13 428
953
Non natural causes
All causes
4 575
Other natural causes
330
768
803
815
888
936
1 027
Tuberculosis (A15-A19)*
2
1 102
Diabetes mellitus (E10-E14)
1
100,0
2,9
34,5
2,5
2,7
5,0
5,3
6,0
6,1
6,4
8,9
9,3
10,5
%
100,0
7,1
34,1
2,5
3,6
5,5
5,7
6,0
6,1
6,6
7,0
7,6
8,2
%
100,0
No.
11 027
All causes
All Western Cape, both sexes, 45–64
24,7 38,4
2 723
4 229
Non natural causes
1,1
1,2
1,2
1,3
1,4
1,4
1,6
2,2
10,1
15,5
Other natural causes
126
138
150
155
178
242
1 119
Tuberculosis (A15-A19)*
2
No.
1 711
Human immunodeficiency virus [HIV] disease (B20-B24)
1
Western Cape, both sexes, 15−44
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
All causes
Non natural causes
Other natural causes
Tuberculosis (A15-A19)*
Other forms of heart disease (I30-I52)
Hypertensive diseases (I10-I15)
Malignant neoplasms of male genital organs (C60-C63)
Malignant neoplasms of digestive organs (C15-C26)
Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)
Chronic lower respiratory diseases (J40-J47)
Cerebrovascular diseases (I60-I69)
Diabetes mellitus (E10-E14)
Ischaemic heart diseases (I20-I25)
All Western Cape, males, 65+
All causes
Non natural causes
Other natural causes
Other forms of heart disease (I30-I52)
Hypertensive diseases (I10-I15)
Cerebrovascular diseases (I60-I69)
Human immunodeficiency virus [HIV] disease (B20-B24)
Malignant neoplasms of digestive organs (C15-C26)
Diabetes mellitus (E10-E14)
Ischaemic heart diseases (I20-I25)
Chronic lower respiratory diseases (J40-J47)
Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)
Tuberculosis (A15-A19)*
All Western Cape, males, 45–64
All causes
Non natural causes
Other natural causes
Influenza and pneumonia (J09-J18)
Episodic and paroxysmal disorders (G40-G47)
Chronic lower respiratory diseases (J40-J47)
Ischaemic heart diseases (I20-I25)
Cerebrovascular diseases (I60-I69)
Other forms of heart disease (I30-I52)
Other viral diseases (B25-B34)
Malignant neoplasms of digestive organs (C15-C26)
Tuberculosis (A15-A19)*
Human immunodeficiency virus [HIV] disease (B20-B24)
Western Cape, males, 15−44
%
100,0
3,3
32,0
2,5
4,3
4,9
5,3
6,6
6,8
7,4
8,2
8,8
9,9
%
100,0
9,3
30,4
2,6
2,8
5,4
5,5
6,1
6,4
7,0
7,0
8,4
9,0
%
100,0
51,6
18,7
1,0
1,0
1,1
1,2
1,2
1,2
1,4
1,4
9,5
10,8
10
9
8
7
6
5
4
3
2
1
10
9
8
7
5
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
Western Cape, females, 15−44
All causes
Non natural causes
Other natural causes
Influenza and pneumonia (J09-J18)
Malignant neoplasms of breast (C50)
Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)
Chronic lower respiratory diseases (J40-J47)
Malignant neoplasms of digestive organs (C15-C26)
Other forms of heart disease (I30-I52)
Hypertensive diseases (I10-I15)
Ischaemic heart diseases (I20-I25)
Cerebrovascular diseases (I60-I69)
Diabetes mellitus (E10-E14)
All Western Cape, females, 65+
All causes
Non natural causes
Other natural causes
Ischaemic heart diseases (I20-I25)
Hypertensive diseases (I10-I15)
Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)
Human immunodeficiency virus [HIV] disease (B20-B24)
Malignant neoplasms of breast (C50)
Tuberculosis (A15-A19)*
Malignant neoplasms of digestive organs (C15-C26)
Chronic lower respiratory diseases (J40-J47)
Cerebrovascular diseases (I60-I69)
Diabetes mellitus (E10-E14)
All Western Cape, females, 45–64
All causes
Non natural causes
Other natural causes
Diabetes mellitus (E10-E14)
Other forms of heart disease (I30-I52)
Certain disorders involving the immune mechanism (D80-D89)
Influenza and pneumonia (J09-J18)
Cerebrovascular diseases (I60-I69)
Malignant neoplasms of female genital organs (C51-C58)
Malignant neoplasms of breast (C50)
Other viral diseases (B25-B34)
Tuberculosis (A15-A19)*
Human immunodeficiency virus [HIV] disease (B20-B24)
9 049
234
3 003
255
301
371
449
499
506
698
726
929
1 078
No.
5 575
219
2 009
264
270
282
309
313
313
321
335
341
599
No.
3 814
519
1 230
60
61
64
65
90
102
120
141
431
931
No.
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
7 882
259
2 526
197
338
388
416
522
534
580
650
695
777
No.
7 831
732
2 381
200
218
426
432
481
502
549
551
654
705
No.
7 159
3 693
1 336
71
72
76
86
87
88
98
101
679
772
No.
Appendix M1: The ten leading underlying natural causes of death by age and sex: Western Cape, 2014 (concluded)
Statistics South Africa
%
100,0
2,6
33,2
2,8
3,3
4,1
5,0
5,5
5,6
7,7
8,0
10,3
11,9
%
100,0
3,9
36,0
4,7
4,8
5,1
5,5
5,6
5,6
5,8
6,0
6,1
10,7
%
100,0
13,6
32,2
1,6
1,6
1,7
1,7
2,4
2,7
3,1
3,7
11,3
24,4
95
Other viral diseases (B25-B34)
Malignant neoplasms of digestive organs (C15-C26)
9
10
1 598
1 699
2 057
211
Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)
Malnutrition (E40-E46)
Other disorders originating in the perinatal period (P90-P96)
3
4
5
Other acute lower respiratory infections (J20-J22)
Congenital malformations of the circulatory system (Q20-Q28)
8
9
10
125
Other viral diseases (B25-B34)
Other disorders of the nervous system (G90-G99)
9
10
26
29
31
*Including deaths due to MDR-TB and XDR-TB.
All causes
2 157
543
Cerebral palsy and other paralytic syndromes (G80-G83)
8
34
37
65
92
Non-natural causes
Other forms of heart disease (I30-I52)
7
128 111
858
Inflammatory diseases of the central nervous system (G00-G09)
6
No. 203
Other natural causes
Malnutrition (E40-E46)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
3
5
Influenza and pneumonia (J09-J18)
2
4
Intestinal infectious diseases (A00-A09)
All Eastern Cape, both sexes, 1–14
1
2 451
Non-natural causes
All causes
975
Other natural causes
44
55
63
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
7
70 67
Disorders related to length of gestation and fetal growth (P05-P08)
Infections specific to the perinatal period (P35-P39)
6
106
118
259
Influenza and pneumonia (J09-J18)
2
358
Intestinal infectious diseases (A00-A09)
No.
66 553
1
All Eastern Cape, both sexes, Age 0
All causes
7 243
Influenza and pneumonia (J09-J18)
8
2 353
2 569
2 971
3 043
29 897
Hypertensive diseases (I10-I15)
7
3 857
3 281
Non-natural causes
Chronic lower respiratory diseases (J40-J47)
6
No.
5 985
Other natural causes
Other forms of heart disease (I30-I52)
Diabetes mellitus (E10-E14)
Cerebrovascular diseases (I60-I69)
3
5
Human immunodeficiency virus [HIV] disease (B20-B24)
2
4
Tuberculosis (A15-A19)*
1
Eastern Cape, both sexes, all ages
100,0
25,2
39,8
1,2
1,3
1,4
1,6
1,7
3,0
4,3
5,1
5,9
9,4
%
100,0
5,1
39,8
1,8
2,2
2,6
2,7
2,9
4,3
4,8
8,6
10,6
14,6
%
100,0
10,9
44,9
2,4
2,6
3,1
3,5
3,9
4,5
4,6
4,9
5,8
9,0
%
10
9
7
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
All causes
Non-natural causes
Other natural causes
Other disorders of the nervous system (G90-G99)
Other forms of heart disease (I30-I52)
Episodic and paroxysmal disorders (G40-G47)
Inflammatory diseases of the central nervous system (G00-G09)
Cerebral palsy and other paralytic syndromes (G80-G83)
Malnutrition (E40-E46)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
Influenza and pneumonia (J09-J18)
Intestinal infectious diseases (A00-A09)
All Eastern Cape, males, 1–14
All causes
Non-natural causes
Other natural causes
Congenital malformations of the circulatory system (Q20-Q28)
Other acute lower respiratory infections (J20-J22)
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
Infections specific to the perinatal period (P35-P39)
Disorders related to length of gestation and fetal growth (P05-P08)
Other disorders originating in the perinatal period (P90-P96)
Malnutrition (E40-E46)
Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)
Influenza and pneumonia (J09-J18)
Intestinal infectious diseases (A00-A09)
All Eastern Cape, males, Age 0
All causes
Non-natural causes
Other natural causes
Other viral diseases (B25-B34)
Hypertensive diseases (I10-I15)
Malignant neoplasms of digestive organs (C15-C26)
Influenza and pneumonia (J09-J18)
Diabetes mellitus (E10-E14)
Other forms of heart disease (I30-I52)
Cerebrovascular diseases (I60-I69)
Chronic lower respiratory diseases (J40-J47)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
Eastern Cape, males, all ages
%
100,0
28,9
37,5
1,2
1,3
1,3
1,3
1,5
3,4
3,5
4,7
6,5
8,8
%
100,0
5,6
37,3
1,8
2,4
2,7
2,9
3,0
4,5
4,6
9,2
10,5
15,5
%
100,0
16,4
42,4
2,3
2,4
2,4
3,1
3,2
4,0
4,1
4,3
5,3
10,2
10
9
8
7
6
5
4
3
2
1
10
8
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
Eastern Cape, females, all ages
No.
All causes
Non-natural causes
Other natural causes
Other disorders of the nervous system (G90-G99)
Cerebral palsy and other paralytic syndromes (G80-G83)
Other viral diseases (B25-B34)
Other forms of heart disease (I30-I52)
Inflammatory diseases of the central nervous system (G00-G09)
Human immunodeficiency virus [HIV] disease (B20-B24)
Malnutrition (E40-E46)
Influenza and pneumonia (J09-J18)
Tuberculosis (A15-A19)*
Intestinal infectious diseases (A00-A09)
All Eastern Cape, females, 1–14
All causes
Non-natural causes
Other natural causes
958
197
402
12
13
18
19
21
23
50
51
55
97
No.
1 086
49
470
19
23 Congenital malformations of the circulatory system (Q20-Q28)
23 Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
27
28
44
57
81
113
152
No.
32 157
1 623
15 230
823
900
1 004
1 088
1 540
1 653
1 878
1 887
2 041
2 490
Other acute lower respiratory infections (J20-J22)
Infections specific to the perinatal period (P35-P39)
Disorders related to length of gestation and fetal growth (P05-P08)
Other disorders originating in the perinatal period (P90-P96)
Malnutrition (E40-E46)
Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)
Influenza and pneumonia (J09-J18)
Intestinal infectious diseases (A00-A09)
All Eastern Cape, females, Age 0
All causes
Non-natural causes
Other natural causes
Intestinal infectious diseases (A00-A09)
Other viral diseases (B25-B34)
Influenza and pneumonia (J09-J18)
Chronic lower respiratory diseases (J40-J47)
Hypertensive diseases (I10-I15)
Other forms of heart disease (I30-I52)
Diabetes mellitus (E10-E14)
Cerebrovascular diseases (I60-I69)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
1 192
345
447
14
15
16
16
18
41
42
56
77
105
No.
1 318
74
492
24
31
36
38
40
59
60
121
139
204
No.
34 234
5 598
14 530
795
812
822
1 045
1 090
1 386
1 392
1 481
1 806
3 477
No.
Appendix M2: The ten leading underlying natural causes of death by age and sex: Eastern Cape, 2014
Statistics South Africa
%
100,0
20,6
42,0
1,3
1,4
1,9
2,0
2,2
2,4
5,2
5,3
5,7
10,1
%
100,0
4,5
43,3
1,7
2,1
2,1
2,5
2,6
4,1
5,2
7,5
10,4
14,0
%
100,0
5,0
47,4
2,6
2,8
3,1
3,4
4,8
5,1
5,8
5,9
6,3
7,7
96
2 622
Other viral diseases (B25-B34)
10
449
495
580
Malignant neoplasms of digestive organs (C15-C26)
Influenza and pneumonia (J09-J18)
Ischaemic heart diseases (I20-I25)
Intestinal infectious diseases (A00-A09)
7
8
9
10
*Including deaths due to MDR-TB and XDR-TB.
All causes
Non-natural causes
Other natural causes
764
Tuberculosis (A15-A19)*
6
1 589
24 087
658
11 038
398
853
1 148
1 445
Hypertensive diseases (I10-I15)
Chronic lower respiratory diseases (J40-J47)
1 660
1 790
5
3
2 164
No.
18 136
4
Other forms of heart disease (I30-I52)
Diabetes mellitus (E10-E14)
2
Cerebrovascular diseases (I60-I69)
1
All Eastern Cape, both sexes, 65+
All causes
1 287
Influenza and pneumonia (J09-J18)
9
620
651
Non-natural causes
Malignant neoplasms of digestive organs (C15-C26)
8
7 963
Hypertensive diseases (I10-I15)
7
793
842
907
1 031
1 127
1 971
No.
19 622
Other natural causes
Chronic lower respiratory diseases (J40-J47)
Other forms of heart disease (I30-I52)
4
6
Cerebrovascular diseases (I60-I69)
3
5
Diabetes mellitus (E10-E14)
Human immunodeficiency virus [HIV] disease (B20-B24)
2
Tuberculosis (A15-A19)*
1
All Eastern Cape, both sexes, 45–64
All causes
6 051
4 597
217
250
298
331
402
409
604
1 121
Non-natural causes
Inflammatory diseases of the central nervous system (G00-G09)
10
No.
2 720
Other natural causes
Episodic and paroxysmal disorders (G40-G47)
Chronic lower respiratory diseases (J40-J47)
9
Intestinal infectious diseases (A00-A09)
7
8
Influenza and pneumonia (J09-J18)
Certain disorders involving the immune mechanism (D80-D89)
4
Other forms of heart disease (I30-I52)
Other viral diseases (B25-B34)
3
6
Human immunodeficiency virus [HIV] disease (B20-B24)
2
5
Tuberculosis (A15-A19)*
1
Eastern Cape, both sexes, 15−44
100,0
2,7
45,8
1,7
2,4
3,2
3,5
4,8
6,0
6,6
6,9
7,4
9,0
%
100,0
7,1
43,9
2,5
2,7
3,4
3,6
4,4
4,6
5,0
5,7
6,2
10,9
%
100,0
23,4
30,8
1,1
1,3
1,5
1,7
2,0
2,1
3,1
5,7
13,4
13,9
%
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
All causes
Non-natural causes
Other natural causes
Ischaemic heart diseases (I20-I25)
Malignant neoplasms of male genital organs (C60-C63)
Influenza and pneumonia (J09-J18)
Malignant neoplasms of digestive organs (C15-C26)
Hypertensive diseases (I10-I15)
Diabetes mellitus (E10-E14)
Tuberculosis (A15-A19)*
Other forms of heart disease (I30-I52)
Chronic lower respiratory diseases (J40-J47)
Cerebrovascular diseases (I60-I69)
All Eastern Cape, males, 65+
All causes
Non-natural causes
Other natural causes
Hypertensive diseases (I10-I15)
Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)
Influenza and pneumonia (J09-J18)
Malignant neoplasms of digestive organs (C15-C26)
Diabetes mellitus (E10-E14)
Other forms of heart disease (I30-I52)
Cerebrovascular diseases (I60-I69)
Human immunodeficiency virus [HIV] disease (B20-B24)
Chronic lower respiratory diseases (J40-J47)
Tuberculosis (A15-A19)*
All Eastern Cape, males, 45–64
All causes
Non-natural causes
Other natural causes
Cerebrovascular diseases (I60-I69)
Chronic lower respiratory diseases (J40-J47)
Intestinal infectious diseases (A00-A09)
Influenza and pneumonia (J09-J18)
Episodic and paroxysmal disorders (G40-G47)
Other forms of heart disease (I30-I52)
Certain disorders involving the immune mechanism (D80-D89)
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
Eastern Cape, males, 15−44
%
100,0
3,3
44,5
2,7
2,8
3,4
3,7
5,0
5,7
6,6
6,9
7,2
8,1
%
100,0
9,1
43,2
2,5
2,5
2,8
3,5
4,0
4,2
4,3
5,3
5,6
13,0
%
100,0
35,1
26,1
1,1
1,3
1,3
1,7
1,8
1,9
2,5
4,5
10,2
12,5
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
Eastern Cape, females, 15−44
All causes
Non-natural causes
Other natural causes
Intestinal infectious diseases (A00-A09)
Ischaemic heart diseases (I20-I25)
Influenza and pneumonia (J09-J18)
Malignant neoplasms of digestive organs (C15-C26)
Tuberculosis (A15-A19)*
Chronic lower respiratory diseases (J40-J47)
Diabetes mellitus (E10-E14)
Other forms of heart disease (I30-I52)
Hypertensive diseases (I10-I15)
Cerebrovascular diseases (I60-I69)
All Eastern Cape, females, 65+
All causes
Non-natural causes
Other natural causes
Other viral diseases (B25-B34)
Malignant neoplasms of female genital organs (C51-C58)
Malignant neoplasms of digestive organs (C15-C26)
Chronic lower respiratory diseases (J40-J47)
Other forms of heart disease (I30-I52)
Hypertensive diseases (I10-I15)
Cerebrovascular diseases (I60-I69)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
Diabetes mellitus (E10-E14)
All Eastern Cape, females, 45–64
All causes
Non-natural causes
Other natural causes
Malignant neoplasms of female genital organs (C51-C58)
Chronic lower respiratory diseases (J40-J47)
Inflammatory diseases of the central nervous system (G00-G09)
Intestinal infectious diseases (A00-A09)
Other forms of heart disease (I30-I52)
Influenza and pneumonia (J09-J18)
Certain disorders involving the immune mechanism (D80-D89)
Other viral diseases (B25-B34)
Tuberculosis (A15-A19)*
Human immunodeficiency virus [HIV] disease (B20-B24)
13 912
322
6 339
274
309
423
474
479
709
1 076
1 083
1 084
1 340
No.
7 614
328
3 375
203
224
251
256
351
391
458
470
606
701
No.
8 565
726
3 135
104
108
119
186
188
219
328
624
1 337
1 491
No.
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
10 168
336
4 529
271
289
341
379
505
583
669
706
736
824
No.
10 499
958
4 533
260
263
297
369
425
441
447
560
586
1 360
No.
10 998
3 859
2 872
116
142
144
189
198
213
275
495
1 123
1 372
No.
Appendix M2: The ten leading underlying natural causes of death by age and sex: Eastern Cape, 2014 (concluded)
Statistics South Africa
%
100,0
2,3
45,6
2,0
2,2
3,0
3,4
3,4
5,1
7,7
7,8
7,8
9,6
%
100,0
4,3
44,3
2,7
2,9
3,3
3,4
4,6
5,1
6,0
6,2
8,0
9,2
%
100,0
8,5
36,6
1,2
1,3
1,4
2,2
2,2
2,6
3,8
7,3
15,6
17,4
97
490 453
Chronic lower respiratory diseases (J40-J47)
Diabetes mellitus (E10-E14)
Ischaemic heart diseases (I20-I25)
Other forms of heart disease (I30-I52)
Intestinal infectious diseases (A00-A09)
6
7
8
9
10
698
1 562
70 36
Other disorders originating in the perinatal period (P90-P96)
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
Malnutrition (E40-E46)
Human immunodeficiency virus [HIV] disease (B20-B24)
Infections specific to the perinatal period (P35-P39)
Other acute lower respiratory infections (J20-J22)
4
6
7
8
9
10
87
4
Inflammatory diseases of the central nervous system (G00-G09)
Other diseases of the respiratory system (J95-J99)
8
9
9
6
6
10
11
*Including deaths due to MDR-TB and XDR-TB.
461
Metabolic disorders (E70-E90)
7
12
15
119
Cerebral palsy and other paralytic syndromes (G80-G83)
6
All causes
Other viral diseases (B25-B34)
4
15
Non-natural causes
Influenza and pneumonia (J09-J18)
4
32
52
97
Tuberculosis (A15-A19)*
3
Other natural causes
Malnutrition (E40-E46)
Human immunodeficiency virus [HIV] disease (B20-B24)
2
86
No.
Intestinal infectious diseases (A00-A09)
1
All Northern Cape, both sexes, 1–14
55 976
Non-natural causes
All causes
291
Other natural causes
19
24
31
32
70
Influenza and pneumonia (J09-J18)
Disorders related to length of gestation and fetal growth (P05-P08)
3
132 129
Intestinal infectious diseases (A00-A09)
Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)
2
No.
1
All Northern Cape, both sexes, Age 0
14 056
Non-natural causes
All causes
5 669
Other natural causes
422
582
595
630
Hypertensive diseases (I10-I15)
721
1 046
Influenza and pneumonia (J09-J18)
Cerebrovascular diseases (I60-I69)
3
5
Tuberculosis (A15-A19)*
2
No. 1 188
4
Human immunodeficiency virus [HIV] disease (B20-B24)
1
Northern Cape, both sexes, all ages
100,0
25,8
21,0
1,3
1,3
2,2
2,4
2,6
3,3
3,3
6,9
11,3
18,7
%
100,0
5,6
29,8
1,9
2,5
3,2
3,3
3,7
7,2
7,2
8,9
13,2
13,5
%
100,0
11,1
40,3
3,0
3,2
3,5
4,1
4,2
4,5
5,0
5,1
7,4
8,5
%
9
9
8
7
5
5
4
3
2
1
10
9
8
6
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
No.
Influenza and pneumonia (J09-J18)
All causes
Non-natural causes
Other natural causes
Other forms of heart disease (I30-I52)
Certain disorders involving the immune mechanism (D80-D89)
Metabolic disorders (E70-E90)
Influenza and pneumonia (J09-J18)
Cerebral palsy and other paralytic syndromes (G80-G83)
Other viral diseases (B25-B34)
Tuberculosis (A15-A19)*
Human immunodeficiency virus [HIV] disease (B20-B24)
Malnutrition (E40-E46)
Intestinal infectious diseases (A00-A09)
All Northern Cape, males, 1–14
All causes
Non-natural causes
Other natural causes
Other acute lower respiratory infections (J20-J22)
Malnutrition (E40-E46)
Infections specific to the perinatal period (P35-P39)
%
100,0
28,4
17,2
1,3
1,3
1,7
2,6
3,0
3,0
4,7
6,0
13,8
16,8
%
100,0
4,6
29,9
2,2
2,6
2,8
3,8
3,8
7,4
7,8
9,8
12,5
12,9
%
100,0
15,3
39,1
2,5
2,7
3,0
3,4
3,9
4,3
4,6
5,0
7,6
8,4
9
9
6
6
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
Northern Cape, females, all ages
All causes
Non-natural causes
Other natural causes
Episodic and paroxysmal disorders (G40-G47)
Tuberculosis (A15-A19)*
Other diseases of the respiratory system (J95-J99)
Inflammatory diseases of the central nervous system (G00-G09)
Other viral diseases (B25-B34)
Metabolic disorders (E70-E90)
Influenza and pneumonia (J09-J18)
Human immunodeficiency virus [HIV] disease (B20-B24)
Malnutrition (E40-E46)
Intestinal infectious diseases (A00-A09)
All Northern Cape, females, 1–14
All causes
Non-natural causes
Other natural causes
Other bacterial diseases (A30-A49)
Infections specific to the perinatal period (P35-P39)
Human immunodeficiency virus [HIV] disease (B20-B24)
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
Malnutrition (E40-E46)
Other disorders originating in the perinatal period (P90-P96)
Disorders related to length of gestation and fetal growth (P05-P08)
Influenza and pneumonia (J09-J18)
Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)
Intestinal infectious diseases (A00-A09)
All Northern Cape, females, Age 0
All causes
Non-natural causes
Other natural causes
Chronic lower respiratory diseases (J40-J47)
Ischaemic heart diseases (I20-I25)
Intestinal infectious diseases (A00-A09)
Other forms of heart disease (I30-I52)
Influenza and pneumonia (J09-J18)
Diabetes mellitus (E10-E14)
Cerebrovascular diseases (I60-I69)
Hypertensive diseases (I10-I15)
Tuberculosis (A15-A19)*
Human immunodeficiency virus [HIV] disease (B20-B24)
227
53
53
4
4
5
5
5
6
9
18
20
45
No.
458
31
137
8
9
12
17
19
27
31
37
62
68
No.
6 625
419
2 752
228
236
241
250
286
360
402
409
420
622
No.
P0309.3
%
6,3
41,5
3,4
3,6
3,6
3,8
4,3
5,4
6,1
6,2
6,3
9,4
100,0
23,3
23,3
1,8
1,8
2,2
2,2
2,2
2,6
4,0
7,9
8,8
19,8
%
100,0
6,8
29,9
1,7
2,0
2,6
3,7
4,1
5,9
6,8
8,1
13,5
14,8
%
100,0
Mortality and causes of death in South Africa, 2014: Findings from death notification
232
66
40
3
3
4
6
7
7
11
14
32
39
No.
502
23
150
11
13
14
19 19
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
37
39
49
Human immunodeficiency virus [HIV] disease (B20-B24)
Disorders related to length of gestation and fetal growth (P05-P08)
Other disorders originating in the perinatal period (P90-P96)
63
65
Intestinal infectious diseases (A00-A09)
No.
Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)
7 382
1 130
2 889
186
203
221
254
289
318
342
367
561
622
All Northern Cape, males, Age 0
All causes
Non-natural causes
Other natural causes
Other viral diseases (B25-B34)
Other forms of heart disease (I30-I52)
Diabetes mellitus (E10-E14)
Ischaemic heart diseases (I20-I25)
Hypertensive diseases (I10-I15)
Cerebrovascular diseases (I60-I69)
Influenza and pneumonia (J09-J18)
Chronic lower respiratory diseases (J40-J47)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
Northern Cape, males, all ages
Appendix M3: The ten leading underlying natural causes of death by age and sex: Northern Cape, 2014
Statistics South Africa
98
No.
47 42
Influenza and pneumonia (J09-J18)
Certain disorders involving the immune mechanism (D80-D89)
Cerebrovascular diseases (I60-I69)
Intestinal infectious diseases (A00-A09)
Episodic and paroxysmal disorders (G40-G47)
Diseases of liver (K70-K77)
Diabetes mellitus (E10-E14)
4
5
6
7
8
9
10
Influenza and pneumonia (J09-J18)
Hypertensive diseases (I10-I15)
Ischaemic heart diseases (I20-I25)
Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)
Malignant neoplasms of digestive organs (C15-C26)
6
7
8
9
10
226
148
153
181
189
199
151 106
Ischaemic heart diseases (I20-I25)
Chronic lower respiratory diseases (J40-J47)
Other forms of heart disease (I30-I52)
Influenza and pneumonia (J09-J18)
Malignant neoplasms of digestive organs (C15-C26)
Tuberculosis (A15-A19)*
Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)
4
5
6
7
8
9
10
122
*Including deaths due to MDR-TB and XDR-TB.
4 377
Non-natural causes
All causes
1 671
Other natural causes
103
183
271
289
289
315
409
Cerebrovascular diseases (I60-I69)
Diabetes mellitus (E10-E14)
3
468
No.
4 432
2
Hypertensive diseases (I10-I15)
1
All Northern Cape, both sexes, 65+
All causes
308
Diabetes mellitus (E10-E14)
5
244
1 732
Cerebrovascular diseases (I60-I69)
4
369 274
Non-natural causes
Chronic lower respiratory diseases (J40-J47)
3
No. 409
Other natural causes
Human immunodeficiency virus [HIV] disease (B20-B24)
2
All Northern Cape, both sexes, 45–64
Tuberculosis (A15-A19)*
1
3 792
951
Non-natural causes
All causes
851
Other natural causes
40
57
67
137
146
219
506
Tuberculosis (A15-A19)*
Other viral diseases (B25-B34)
3
729
2
Human immunodeficiency virus [HIV] disease (B20-B24)
1
Northern Cape, both sexes, 15−44
100,0
2,8
38,2
2,4
2,4
3,4
4,2
6,2
6,6
6,6
7,2
9,3
10,7
%
100,0
6,9
39,1
3,3
3,5
4,1
4,3
4,5
5,1
5,5
6,2
8,3
9,2
%
100,0
25,1
22,4
1,1
1,1
1,2
1,5
1,8
3,6
3,9
5,8
13,3
19,2
%
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
All causes
Non-natural causes
Other natural causes
Tuberculosis (A15-A19)*
Malignant neoplasms of digestive organs (C15-C26)
Influenza and pneumonia (J09-J18)
Malignant neoplasms of male genital organs (C60-C63)
Other forms of heart disease (I30-I52)
Diabetes mellitus (E10-E14)
Ischaemic heart diseases (I20-I25)
Cerebrovascular diseases (I60-I69)
Hypertensive diseases (I10-I15)
Chronic lower respiratory diseases (J40-J47)
All Northern Cape, males, 65+
All causes
Non-natural causes
Other natural causes
Malignant neoplasms of digestive organs (C15-C26)
Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)
Diabetes mellitus (E10-E14)
Hypertensive diseases (I10-I15)
Ischaemic heart diseases (I20-I25)
Influenza and pneumonia (J09-J18)
Cerebrovascular diseases (I60-I69)
Chronic lower respiratory diseases (J40-J47)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
All Northern Cape, males, 45–64
All causes
Non-natural causes
Other natural causes
Other forms of heart disease (I30-I52)
Diseases of liver (K70-K77)
Intestinal infectious diseases (A00-A09)
Episodic and paroxysmal disorders (G40-G47)
Cerebrovascular diseases (I60-I69)
Certain disorders involving the immune mechanism (D80-D89)
Influenza and pneumonia (J09-J18)
Other viral diseases (B25-B34)
Tuberculosis (A15-A19)*
Human immunodeficiency virus [HIV] disease (B20-B24)
Northern Cape, males, 15−44
%
100,0
3,2
36,1
3,7
4,4
4,6
4,9
5,2
5,3
6,7
8,1
8,5
9,2
%
100,0
8,3
37,5
3,5
3,9
4,0
4,1
4,4
4,5
4,7
6,8
7,6
10,7
%
100,0
35,6
18,5
1,0
1,0
1,4
1,5
1,9
3,0
3,8
4,9
12,5
14,9
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
10
8
8
6
6
5
4
3
2
1
All causes
Non-natural causes
Other natural causes
Malignant neoplasms of female genital organs (C51-C58)
Malignant neoplasms of digestive organs (C15-C26)
Intestinal infectious diseases (A00-A09)
Influenza and pneumonia (J09-J18)
Chronic lower respiratory diseases (J40-J47)
Ischaemic heart diseases (I20-I25)
Other forms of heart disease (I30-I52)
Diabetes mellitus (E10-E14)
Cerebrovascular diseases (I60-I69)
Hypertensive diseases (I10-I15)
All Northern Cape, females, 65+
All causes
Non-natural causes
Other natural causes
Other forms of heart disease (I30-I52)
Malignant neoplasms of female genital organs (C51-C58)
Ischaemic heart diseases (I20-I25)
Influenza and pneumonia (J09-J18)
Hypertensive diseases (I10-I15)
Chronic lower respiratory diseases (J40-J47)
Diabetes mellitus (E10-E14)
Cerebrovascular diseases (I60-I69)
Tuberculosis (A15-A19)*
Human immunodeficiency virus [HIV] disease (B20-B24)
All Northern Cape, females, 45–64
All causes
Non-natural causes
Other natural causes
Malignant neoplasms of female genital organs (C51-C58)
Hypertensive diseases (I10-I15)
Diabetes mellitus (E10-E14)
Cerebrovascular diseases (I60-I69)
Intestinal infectious diseases (A00-A09)
Influenza and pneumonia (J09-J18)
Certain disorders involving the immune mechanism (D80-D89)
Other viral diseases (B25-B34)
Tuberculosis (A15-A19)*
Human immunodeficiency virus [HIV] disease (B20-B24)
Northern Cape, females, 15−44
2 385
57
871
53
64
65
91
106
156
168
209
247
298
No.
1 924
99
782
61
64
72
85
86
103
126
127
141
178
No.
1 631
179
436
21
24
24
27
27
64
73
114
237
405
No.
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
1 990
64
719
74
87
92
98
103
106
133
161
170
183
No.
2 504
209
940
88
97
99
103
109
113
117
171
191
267
No.
2 146
765
398
21
22
30
32
40
64
82
105
268
319
No.
Appendix M3: The ten leading underlying natural causes of death by age and sex: Northern Cape, 2014 (concluded)
Statistics South Africa
%
100,0
2,4
36,5
2,2
2,7
2,7
3,8
4,4
6,5
7,0
8,8
10,4
12,5
%
100,0
5,1
40,6
3,2
3,3
3,7
4,4
4,5
5,4
6,5
6,6
7,3
9,3
%
100,0
11,0
26,7
1,3
1,5
1,5
1,7
1,7
3,9
4,5
7,0
14,5
24,8
99
No.
1 249
1 169
Intestinal infectious diseases (A00-A09)
Other viral diseases (B25-B34)
Chronic lower respiratory diseases (J40-J47)
8
9
10
99
80
Malnutrition (E40-E46)
Infections specific to the perinatal period (P35-P39)
Other disorders originating in the perinatal period (P90-P96)
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
Disorders related to length of gestation and fetal growth (P05-P08)
Congenital malformations of the circulatory system (Q20-Q28)
Other bacterial diseases (A30-A49)
4
5
6
7
7
9
10
69
Non-natural causes
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
Other forms of heart disease (I30-I52)
Certain disorders involving the immune mechanism (D80-D89)
Cerebral palsy and other paralytic syndromes (G80-G83)
Other acute lower respiratory infections (J20-J22)
5
6
7
8
9
10
14
16
17
21
25
28
48
*Including deaths due to MDR-TB and XDR-TB
All causes
1 000
256
Tuberculosis (A15-A19)*
4
88
62
Non-natural causes
Malnutrition (E40-E46)
3
291
Influenza and pneumonia (J09-J18)
2
No.
134
Other natural causes
Intestinal infectious diseases (A00-A09)
All Free State, both sexes, 1–14
2 077
597
Other natural causes
40
43
80
103
141
226
3
276
Intestinal infectious diseases (A00-A09)
Influenza and pneumonia (J09-J18)
2
1
9,6
42,2
2,3
3,5
3,8
4,1
4,3
4,6
5,0
100,0
25,6
29,1
1,4
1,6
1,7
2,1
2,5
2,8
4,8
6,2
8,8
13,4
%
100,0
3,3
28,7
1,9
2,1
3,9
3,9
4,8
5,0
6,8
10,9
13,3
15,6
%
No.
323
All Free State, both sexes, Age 0
Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)
1
All causes
6,8 5,3
100,0
3 165
% 8,4
33 045
Non-natural causes
All causes
13 950
Other natural causes
775
1 349
1 423
Hypertensive diseases (I10-I15)
Human immunodeficiency virus [HIV] disease (B20-B24)
7
1 516
1 653
1 749
2 262
2 785
6
Other forms of heart disease (I30-I52)
Diabetes mellitus (E10-E14)
Cerebrovascular diseases (I60-I69)
3
5
Influenza and pneumonia (J09-J18)
2
4
Tuberculosis (A15-A19)*
1
Free State, both sexes, all ages
10
8
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
No.
7
All causes
Non-natural causes
%
100,0
27,9
27,6
1,3
1,6
1,6
2,0
2,7
3,8
4,7
6,5
7,8
12,3
%
100,0
3,0
27,9
2,1
2,2
3,4
3,8
4,9
5,2
8,0
10,3
13,0
16,2
%
100,0
13,4
41,0
2,9
3,1
3,3
3,3
3,4
4,1
4,3
4,4
6,9
9,9
10
8
8
7
5
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
Free State, females, all ages
No.
Disorders related to length of gestation and fetal growth (P05-P08)
All causes
Non-natural causes
Other natural causes
Other bacterial diseases (A30-A49)
Cerebral palsy and other paralytic syndromes (G80-G83)
Other viral diseases (B25-B34)
Certain disorders involving the immune mechanism (D80-D89)
Other forms of heart disease (I30-I52)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
Malnutrition (E40-E46)
Influenza and pneumonia (J09-J18)
Intestinal infectious diseases (A00-A09)
All Free State, females, 1–14
All causes
Non-natural causes
Other natural causes
Congenital malformations of the circulatory system (Q20-Q28)
Other acute lower respiratory infections (J20-J22)
440
100
136
6
7
7
9
10
10
22
24
45
64
No.
929
33
276
18
21
33
39
40
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04) Other disorders originating in the perinatal period (P90-P96)
42
51
110
129
137
No.
15 600
825
6 672
391
596
631
647
886
906
949
980
1 057
1 060
Infections specific to the perinatal period (P35-P39)
Malnutrition (E40-E46)
Influenza and pneumonia (J09-J18)
Intestinal infectious diseases (A00-A09)
Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29)
All Free State, females, Age 0
All causes
Non-natural causes
Other natural causes
Certain disorders involving the immune mechanism (D80-D89)
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
Intestinal infectious diseases (A00-A09)
Hypertensive diseases (I10-I15)
Other forms of heart disease (I30-I52)
Diabetes mellitus (E10-E14)
Cerebrovascular diseases (I60-I69)
Tuberculosis (A15-A19)*
Influenza and pneumonia (J09-J18)
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
551
154
152
Malignant neoplasms, stated or presumed to be primary, of lymphoid, haematopoietic and related tissue (C81-C96) Other natural causes
9
9
11
15
21
26
36
43
68
No.
1 119
34
312
24
25
38
43
55
58
89
115
145
181
No.
17 334
2 321
7 104
501
537
566
570
597
713
745
766
1 194
1 720
Other acute lower respiratory infections (J20-J22)
Cerebral palsy and other paralytic syndromes (G80-G83)
Other forms of heart disease (I30-I52)
Human immunodeficiency virus [HIV] disease (B20-B24)
Other viral diseases (B25-B34)
Tuberculosis (A15-A19)*
Malnutrition (E40-E46)
Influenza and pneumonia (J09-J18)
Intestinal infectious diseases (A00-A09)
All Free State, males, 1–14
All causes
Non-natural causes
Other natural causes
Other bacterial diseases (A30-A49)
Congenital malformations of the circulatory system (Q20-Q28)
Disorders related to length of gestation and fetal growth (P05-P08) Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
Other disorders originating in the perinatal period (P90-P96)
Infections specific to the perinatal period (P35-P39)
Malnutrition (E40-E46)
Influenza and pneumonia (J09-J18)
Intestinal infectious diseases (A00-A09)
Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29)
All Free State, males, Age 0
All causes
Non-natural causes
Other natural causes
Chronic lower respiratory diseases (J40-J47)
Hypertensive diseases (I10-I15)
Diabetes mellitus (E10-E14)
Other viral diseases (B25-B34)
Intestinal infectious diseases (A00-A09)
Human immunodeficiency virus [HIV] disease (B20-B24)
Other forms of heart disease (I30-I52)
Cerebrovascular diseases (I60-I69)
Influenza and pneumonia (J09-J18)
Tuberculosis (A15-A19)*
Free State, males, all ages
Appendix M4: The ten leading underlying natural causes of death by age and sex: Free State, 2014
Statistics South Africa
%
100,0
22,7
30,9
1,4
1,6
1,6
2,0
2,3
2,3
5,0
5,5
10,2
14,5
%
100,0
3,6
29,7
1,9
2,3
3,6
4,2
4,3
4,5
5,5
11,8
13,9
14,7
%
100,0
5,3
42,8
2,5
3,8
4,0
4,1
5,7
5,8
6,1
6,3
6,8
6,8
100
150
Influenza and pneumonia (J09-J18)
Certain disorders involving the immune mechanism (D80-D89)
Intestinal infectious diseases (A00-A09)
Other forms of heart disease (I30-I52)
Protozoal diseases (B50-B64)
Cerebrovascular diseases (I60-I69)
Renal failure (N17-N19)
4
5
6
7
8
9
10
Hypertensive diseases (I10-I15)
7
664
Chronic lower respiratory diseases (J40-J47)
Intestinal infectious diseases (A00-A09)
Malignant neoplasms of digestive organs (C15-C26)
Tuberculosis (A15-A19)*
6
7
8
9
10
263
276
294
428
465
672
*Including deaths due to MDR-TB and XDR-TB
All causes
10 238
252
Ischaemic heart diseases (I20-I25)
5
813
3 994
Influenza and pneumonia (J09-J18)
4
916
903
Non-natural causes
Diabetes mellitus (E10-E14)
3
No.
962
Other natural causes
Other forms of heart disease (I30-I52)
Hypertensive diseases (I10-I15)
2
Cerebrovascular diseases (I60-I69)
All Free State, both sexes, 65+
1
10 040
Non-natural causes
269
300
380
435
452
490
598
632
639
986
100,0
2,5
39,0
2,6
2,7
2,9
4,2
4,5
6,6
7,9
8,8
8,9
9,4
%
100,0
6,6
41,8
2,7
3,0
3,8
4,3
4,5
4,9
6,0
6,3
6,4
9,8
%
100,0
No.
9 625
1,5
1,6
1,6
2,3
2,9
4,4
6,6
7,0
8,4
28,8 19,8
4 195
All causes
% 15,3
2 776 1 901
143
217
280
419
633
670
Other natural causes
Certain disorders involving the immune mechanism (D80-D89)
Human immunodeficiency virus [HIV] disease (B20-B24)
6
10
Other forms of heart disease (I30-I52)
5
Other viral diseases (B25-B34)
Diabetes mellitus (E10-E14)
4
Chronic lower respiratory diseases (J40-J47)
Cerebrovascular diseases (I60-I69)
3
9
Influenza and pneumonia (J09-J18)
2
8
Tuberculosis (A15-A19)*
1
All Free State, both sexes, 45–64
All causes
Other natural causes Non-natural causes
152
Other viral diseases (B25-B34)
3
809
Human immunodeficiency virus [HIV] disease (B20-B24)
2
No.
1 475
Tuberculosis (A15-A19)*
1
Free State, both sexes, 15−44
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
All causes
Non-natural causes
Other natural causes
Malignant neoplasms of digestive organs (C15-C26)
Malignant neoplasms of male genital organs (C60-C63)
Tuberculosis (A15-A19)*
Ischaemic heart diseases (I20-I25)
Diabetes mellitus (E10-E14)
Chronic lower respiratory diseases (J40-J47)
Hypertensive diseases (I10-I15)
Influenza and pneumonia (J09-J18)
Other forms of heart disease (I30-I52)
Cerebrovascular diseases (I60-I69)
All Free State, males, 65+
All causes
Non-natural causes
Other natural causes
Malignant neoplasms of digestive organs (C15-C26)
Other viral diseases (B25-B34)
Hypertensive diseases (I10-I15)
Chronic lower respiratory diseases (J40-J47)
Human immunodeficiency virus [HIV] disease (B20-B24)
Diabetes mellitus (E10-E14)
Other forms of heart disease (I30-I52)
Cerebrovascular diseases (I60-I69)
Influenza and pneumonia (J09-J18)
Tuberculosis (A15-A19)*
All Free State, males, 45–64
All causes
Other natural causes Non-natural causes
Inflammatory diseases of the central nervous system (G00-G09)
Renal failure (N17-N19)
Cerebrovascular diseases (I60-I69)
Other forms of heart disease (I30-I52)
Intestinal infectious diseases (A00-A09)
Certain disorders involving the immune mechanism (D80-D89)
Other viral diseases (B25-B34)
Influenza and pneumonia (J09-J18)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
Free State, males, 15−44
%
100,0
2,7
39,5
3,3
3,7
3,9
5,0
5,9
6,1
6,5
6,9
8,0
8,5
%
100,0
8,3
40,2
2,8
3,5
3,6
3,6
4,5
4,6
4,8
5,5
7,0
11,5
%
100,0
25,7 27,9
1,2
1,2
1,3
1,9
2,5
3,7
5,6
5,9
7,5
15,7
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
Free State, females, 15−44
All causes
Non-natural causes
Other natural causes
Malignant neoplasms of female genital organs (C51-C58)
Malignant neoplasms of digestive organs (C15-C26)
Chronic lower respiratory diseases (J40-J47)
Intestinal infectious diseases (A00-A09)
Ischaemic heart diseases (I20-I25)
Influenza and pneumonia (J09-J18)
Diabetes mellitus (E10-E14)
Other forms of heart disease (I30-I52)
Cerebrovascular diseases (I60-I69)
Hypertensive diseases (I10-I15)
All Free State, females, 65+
All causes
Non-natural causes
Other natural causes
Certain disorders involving the immune mechanism (D80-D89)
Malignant neoplasms of female genital organs (C51-C58)
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
Other forms of heart disease (I30-I52)
Influenza and pneumonia (J09-J18)
Hypertensive diseases (I10-I15)
Cerebrovascular diseases (I60-I69)
Tuberculosis (A15-A19)*
Diabetes mellitus (E10-E14)
All Free State, females, 45–64
All causes
Other natural causes Non-natural causes
Cerebrovascular diseases (I60-I69)
Malignant neoplasms of female genital organs (C51-C58)
Protozoal diseases (B50-B64)
Other forms of heart disease (I30-I52)
Intestinal infectious diseases (A00-A09)
Certain disorders involving the immune mechanism (D80-D89)
Influenza and pneumonia (J09-J18)
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
5 882
134
2 190
121
130
163
189
247
370
558
569
592
619
No.
4 157
174
1 725
139
157
175
185
205
225
226
307
312
327
No.
4 172
1 361 381
78
80
97
116
143
220
308
365
402
621
No.
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
4 349
118
1 716
145
162
169
218
255
265
284
301
347
369
No.
5 864
489
2 358
167
205
209
211
265
270
283
323
412
672
No.
5 414
1 392 1 509
63
66
72
101
136
199
302
321
404
849
No.
Appendix M4: The ten leading underlying natural causes of death by age and sex: Free State, 2014 (concluded)
Statistics South Africa
%
100,0
2,3
37,2
2,1
2,2
2,8
3,2
4,2
6,3
9,5
9,7
10,1
10,5
%
100,0
4,2
41,5
3,3
3,8
4,2
4,5
4,9
5,4
5,4
7,4
7,5
7,9
%
100,0
32,6 9,1
1,9
1,9
2,3
2,8
3,4
5,3
7,4
8,7
9,6
14,9
101
Disorders related to length of gestation and fetal growth (P05-P08)
Influenza and pneumonia (J09-J18)
2
3
4
Malnutrition (E40-E46)
Haemorrhagic and haematological disorders of fetus and newborn (P50-P61) Other viral diseases (B25-B34)
7
8
9 10
Inflammatory diseases of the central nervous system (G00-G09)
Other forms of heart disease (I30-I52)
Episodic and paroxysmal disorders (G40-G47)
Cerebral palsy and other paralytic syndromes (G80-G83)
6
7
8
9
9
41
41
56
61
77
112
119
*Including deaths due to MDR-TB and XDR-TB
All causes
2 750
617
Other viral diseases (B25-B34)
5
Non-natural causes
Human immunodeficiency virus [HIV] disease (B20-B24)
4
160
154
979
Malnutrition (E40-E46)
3
No.
333
Other natural causes
Tuberculosis (A15-A19)*
Influenza and pneumonia (J09-J18)
2
Intestinal infectious diseases (A00-A09)
All KwaZulu-Natal, both sexes, 1–14
1
4 413
155
Non-natural causes
All causes
1 309
Other natural causes
108 102
161
197
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
6
245
209
Infections specific to the perinatal period (P35-P39)
Other disorders originating in the perinatal period (P90-P96)
5
313
327
594
693
Intestinal infectious diseases (A00-A09)
1
100,0
22,4
35,6
1,5
1,5
2,0
2,2
2,8
4,1
4,3
5,6
5,8
12,1
%
100,0
3,5
29,7
2,4 2,3
3,6
4,5
4,7
5,6
7,1
7,4
13,5
15,7
%
No.
All KwaZulu-Natal, both sexes, Age 0
Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)
37,9 10,5 100,0
8 347 79 138
2,2
3,5
3,6
3,7
3,9
4,8
6,2
6,2
6,2
29 997
1 749
2 805
2 815
2 914
3 101
3 812
4 868
4 927
4 940
% 11,2
Non-natural causes All causes
Ischaemic heart diseases (I20-I25)
10
No.
8 863
Other natural causes
Intestinal infectious diseases (A00-A09)
Hypertensive diseases (I10-I15)
9
Influenza and pneumonia (J09-J18)
7
8
Other forms of heart disease (I30-I52)
Diabetes mellitus (E10-E14)
4
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
3
6
Cerebrovascular diseases (I60-I69)
2
5
Tuberculosis (A15-A19)*
1
KwaZulu-Natal, both sexes, all ages
10
9
8
7
6
5
4
3
2
1
9 10
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
All causes
Non-natural causes
Other natural causes
Other acute lower respiratory infections (J20-J22)
Cerebral palsy and other paralytic syndromes (G80-G83)
Inflammatory diseases of the central nervous system (G00-G09)
Other forms of heart disease (I30-I52)
Other viral diseases (B25-B34)
Malnutrition (E40-E46)
Human immunodeficiency virus [HIV] disease (B20-B24)
Influenza and pneumonia (J09-J18)
Tuberculosis (A15-A19)*
Intestinal infectious diseases (A00-A09)
All KwaZulu-Natal, males, 1–14
All causes
Non-natural causes
Other natural causes
Haemorrhagic and haematological disorders of fetus and newborn (P50-P61) Other viral diseases (B25-B34)
Malnutrition (E40-E46)
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
Other disorders originating in the perinatal period (P90-P96)
Infections specific to the perinatal period (P35-P39)
Influenza and pneumonia (J09-J18)
Disorders related to length of gestation and fetal growth (P05-P08)
Intestinal infectious diseases (A00-A09)
Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)
All KwaZulu-Natal, males, Age 0
Non-natural causes All causes
Other natural causes
Ischaemic heart diseases (I20-I25)
Hypertensive diseases (I10-I15)
Intestinal infectious diseases (A00-A09)
Influenza and pneumonia (J09-J18)
Other viral diseases (B25-B34)
Other forms of heart disease (I30-I52)
Diabetes mellitus (E10-E14)
Cerebrovascular diseases (I60-I69)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
KwaZulu-Natal, males, all ages
%
100,0
25,7
33,6
1,3
1,5
1,7
1,8
2,8
3,7
4,1
5,8
5,9
12,1
%
100,0
3,2
29,7
2,9 2,1
3,6
4,3
4,8
6,0
6,6
7,3
13,8
15,6
%
15,6 100,0
36,1
2,4
2,4
3,3
3,6
4,0
4,0
4,3
4,7
6,3
13,3
10
9
8
7
6
5
4
3
2
1
9 10
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
KwaZulu-Natal, females, all ages
All causes
Non-natural causes
Other natural causes
Other bacterial diseases (A30-A49)
Episodic and paroxysmal disorders (G40-G47)
Other forms of heart disease (I30-I52)
Other viral diseases (B25-B34)
Inflammatory diseases of the central nervous system (G00-G09)
Human immunodeficiency virus [HIV] disease (B20-B24)
Malnutrition (E40-E46)
Influenza and pneumonia (J09-J18)
Tuberculosis (A15-A19)*
Intestinal infectious diseases (A00-A09)
All KwaZulu-Natal, females, 1–14
All causes
Non-natural causes
Other natural causes
Other bacterial diseases (A30-A49) Other viral diseases (B25-B34)
Malnutrition (E40-E46)
Other disorders originating in the perinatal period (P90-P96)
Infections specific to the perinatal period (P35-P39) Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
Disorders related to length of gestation and fetal growth (P05-P08)
Influenza and pneumonia (J09-J18)
Intestinal infectious diseases (A00-A09)
Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)
All KwaZulu-Natal, females, Age 0
Non-natural causes All causes
Other natural causes
Malignant neoplasms of female genital organs (C51-C58)
Influenza and pneumonia (J09-J18)
Intestinal infectious diseases (A00-A09)
Other viral diseases (B25-B34)
Hypertensive diseases (I10-I15)
Other forms of heart disease (I30-I52)
Human immunodeficiency virus [HIV] disease (B20-B24)
Cerebrovascular diseases (I60-I69)
Diabetes mellitus (E10-E14)
Tuberculosis (A15-A19)*
1 209
220
462
18
23
28
34
35
48
60
65
70
146
No.
1 988
76
588
51 50
74
87
88
104
149
154
265
302
No.
1 988 38 452
15 111
942
1 457
1 483
1 486
1 828
2 182
2 343
3 038
3 135
3 459
No.
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
1 533
394
515
20
23
26
28
43
57
63
89
90
185
No.
2 333
75
693
68 48
85
101
111
139
155
170
323
365
No.
6 315 40 432
14 606
962
974
1 316
1 451
1 601
1 628
1 733
1 900
2 567
5 379
No.
Appendix M5: The ten leading underlying natural causes of death by age and sex: KwaZulu-Natal, 2014
Statistics South Africa
%
100,0
18,2
38,2
1,5
1,9
2,3
2,8
2,9
4,0
5,0
5,4
5,8
12,1
%
100,0
3,8
29,6
2,6 2,5
3,7
4,4
4,4
5,2
7,5
7,7
13,3
15,2
%
5,2 100,0
39,3
2,4
3,8
3,9
3,9
4,8
5,7
6,1
7,9
8,2
9,0
102
435
353
Other forms of heart disease (I30-I52)
Inflammatory diseases of the central nervous system (G00-G09)
Protozoal diseases (B50-B64)
Cerebrovascular diseases (I60-I69)
7
8
9
10
Other forms of heart disease (I30-I52)
Other viral diseases (B25-B34)
Hypertensive diseases (I10-I15)
Influenza and pneumonia (J09-J18)
Malignant neoplasms of digestive organs (C15-C26)
Ischaemic heart diseases (I20-I25)
5
6
7
8
9
10
571
583
682
791
834
997
1 277
797
721
Other forms of heart disease (I30-I52)
Hypertensive diseases (I10-I15)
Ischaemic heart diseases (I20-I25)
Tuberculosis (A15-A19)*
Influenza and pneumonia (J09-J18)
Chronic lower respiratory diseases (J40-J47)
Intestinal infectious diseases (A00-A09)
General symptoms and signs (R50-R69)
3
4
5
6
7
8
9
10
*Including deaths due to MDR-TB and XDR-TB
25 179
658
Non-natural causes
All causes
9 110
Other natural causes
661
959
1 062
1 067
1 875
2 184
2 866
Diabetes mellitus (E10-E14)
2
3 219
Cerebrovascular diseases (I60-I69)
No.
20 931
1
All KwaZulu-Natal, both sexes, 65+
All causes
1 261
Human immunodeficiency virus [HIV] disease (B20-B24)
4
1 781
1 361
Non-natural causes
Cerebrovascular diseases (I60-I69)
3
8 069
Diabetes mellitus (E10-E14)
2
2 724
Other natural causes
Tuberculosis (A15-A19)*
1
No.
Non-natural causes All causes
All KwaZulu-Natal, both sexes, 45–64
7 221
4 597 25 688
Other natural causes
336
535
628
678
799
Intestinal infectious diseases (A00-A09)
Influenza and pneumonia (J09-J18)
4
3 294
1 970
Certain disorders involving the immune mechanism (D80-D89)
Other viral diseases (B25-B34)
3
6
Human immunodeficiency virus [HIV] disease (B20-B24)
2
No.
4 842
5
Tuberculosis (A15-A19)*
1
KwaZulu-Natal, both sexes, 15−44
100,0
2,6
36,2
2,6
2,9
3,2
3,8
4,2
4,2
7,4
8,7
11,4
12,8
%
100,0
6,0
38,6
2,7
2,8
3,3
3,8
4,0
4,8
6,1
6,5
8,5
13,0
%
17,9 100,0
28,1
1,3
1,4
1,7
2,1
2,4
2,6
3,1
7,7
12,8
18,8
%
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
All causes
Non-natural causes
Other natural causes
Malignant neoplasms of male genital organs (C60-C63)
Malignant neoplasms of digestive organs (C15-C26)
Influenza and pneumonia (J09-J18)
Chronic lower respiratory diseases (J40-J47)
Ischaemic heart diseases (I20-I25)
Hypertensive diseases (I10-I15)
Tuberculosis (A15-A19)*
Other forms of heart disease (I30-I52)
Diabetes mellitus (E10-E14)
Cerebrovascular diseases (I60-I69)
All KwaZulu-Natal, males, 65+
All causes
Non-natural causes
Other natural causes
Malignant neoplasms of digestive organs (C15-C26)
Chronic lower respiratory diseases (J40-J47)
Ischaemic heart diseases (I20-I25)
Influenza and pneumonia (J09-J18)
Other viral diseases (B25-B34)
Other forms of heart disease (I30-I52)
Diabetes mellitus (E10-E14)
Cerebrovascular diseases (I60-I69)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
All KwaZulu-Natal, males, 45–64
Non-natural causes All causes
Other natural causes
Renal failure (N17-N19)
Episodic and paroxysmal disorders (G40-G47)
Inflammatory diseases of the central nervous system (G00-G09)
Certain disorders involving the immune mechanism (D80-D89)
Other forms of heart disease (I30-I52)
Intestinal infectious diseases (A00-A09)
Influenza and pneumonia (J09-J18)
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
KwaZulu-Natal, males, 15−44
%
100,0
3,2
36,9
2,8
3,4
4,1
4,9
5,1
5,8
6,2
7,9
9,5
10,2
%
100,0
7,7
37,7
2,9
3,0
3,2
3,3
4,0
4,5
5,9
6,0
6,0
15,8
%
25,9 100,0
25,2
1,2
1,3
1,5
1,8
1,8
2,2
2,7
6,6
11,2
18,6
9
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
KwaZulu-Natal, females, 15−44
All causes
Non-natural causes
Other natural causes
Chronic lower respiratory diseases (J40-J47)
Malignant neoplasms of digestive organs (C15-C26)
Tuberculosis (A15-A19)*
Intestinal infectious diseases (A00-A09)
Influenza and pneumonia (J09-J18)
Ischaemic heart diseases (I20-I25)
Hypertensive diseases (I10-I15)
Other forms of heart disease (I30-I52)
Diabetes mellitus (E10-E14)
Cerebrovascular diseases (I60-I69)
All KwaZulu-Natal, females, 65+
All causes
Non-natural causes
Other natural causes
Malignant neoplasms of digestive organs (C15-C26)
Influenza and pneumonia (J09-J18)
Other viral diseases (B25-B34)
Malignant neoplasms of female genital organs (C51-C58)
Hypertensive diseases (I10-I15)
Other forms of heart disease (I30-I52)
Human immunodeficiency virus [HIV] disease (B20-B24)
Cerebrovascular diseases (I60-I69)
Tuberculosis (A15-A19)*
Diabetes mellitus (E10-E14)
All KwaZulu-Natal, females, 45–64
Non-natural causes All causes
Other natural causes
Protozoal diseases (B50-B64)
Inflammatory diseases of the central nervous system (G00-G09)
Malignant neoplasms of female genital organs (C51-C58)
Other forms of heart disease (I30-I52)
Intestinal infectious diseases (A00-A09)
Certain disorders involving the immune mechanism (D80-D89)
Influenza and pneumonia (J09-J18)
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
15 508
350
5 499
321
321
463
509
561
570
1 313
1 420
1 950
2 231
No.
8 787
327
3 263
227
276
350
392
443
451
547
637
802
1 072
No.
772 10 918
3 364
206
212
256
264
353
361
399
993
1 643
2 095
No.
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
9 667
307
3 569
267
326
398
475
496
562
599
764
916
988
No.
12 115
932
4 564
355
363
389
405
484
546
709
723
727
1 918
No.
3 808 14 680
3 699
177
187
222
263
269
320
399
967
1 640
2 729
No.
Appendix M5: The ten leading underlying natural causes of death by age and sex: KwaZulu-Natal, 2014 (concluded)
Statistics South Africa
%
100,0
2,3
35,5
2,1
2,1
3,0
3,3
3,6
3,7
8,5
9,2
12,6
14,4
%
100,0
3,7
37,1
2,6
3,1
4,0
4,5
5,0
5,1
6,2
7,2
9,1
12,2
%
7,1 100,0
30,8
1,9
1,9
2,3
2,4
3,2
3,3
3,7
9,1
15,0
19,2
103
Chronic lower respiratory diseases (J40-J47)
10
1 367
824
1 227
10
62
37
43
246
*Including deaths due to MDR-TB and XDR-TB.
1 397
Non-natural causes
All causes
409
19
21
21
24
32
33
64
97
166
265
No.
2 546
Other natural causes
Episodic and paroxysmal disorders (G40-G47)
7
10
Other acute lower respiratory infections (J20-J22)
6
Other forms of heart disease (I30-I52)
Human immunodeficiency virus [HIV] disease (B20-B24)
5
Other diseases of the respiratory system (J95-J99)
Other viral diseases (B25-B34)
4
8
Tuberculosis (A15-A19)*
3
8
Malnutrition (E40-E46)
Influenza and pneumonia (J09-J18)
2
Intestinal infectious diseases (A00-A09)
1
All North West, both sexes, 1–14
All causes
61
Other diseases of the respiratory system (J95-J99)
9
Non-natural causes
Other acute lower respiratory infections (J20-J22)
8
761
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
108
113
133
149
Other natural causes
Disorders related to length of gestation and fetal growth (P05-P08)
Malnutrition (E40-E46)
5
Infections specific to the perinatal period (P35-P39)
Other disorders originating in the perinatal period (P90-P96)
4
7
Influenza and pneumonia (J09-J18)
3
6
392
Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)
2
222
465
Intestinal infectious diseases (A00-A09)
No.
34 933
1
All North West, both sexes, Age 0
All causes
2 872
Other viral diseases (B25-B34)
9
14 931
Diabetes mellitus (E10-E14)
8
1 466
1 527
1 669
1 890
1 950
2 098
Non-natural causes
Intestinal infectious diseases (A00-A09)
7
No.
3 112
Other natural causes
Cerebrovascular diseases (I60-I69)
Hypertensive diseases (I10-I15)
4
Human immunodeficiency virus [HIV] disease (B20-B24)
Influenza and pneumonia (J09-J18)
3
6
Other forms of heart disease (I30-I52)
2
5
Tuberculosis (A15-A19)*
1
North West, both sexes, all ages
100,0
17,6
29,3
1,4
1,5
1,5
1,7
2,3
2,4
4,6
6,9
11,9
19,0
%
100,0
2,4
29,9
1,5
1,7
2,4
4,2
4,4
5,2
5,9
8,7
15,4
18,3
%
100,0
8,2
42,7
2,4
3,5
3,9
4,2
4,4
4,8
5,4
5,6
6,0
8,9
%
10
8
8
6
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
All causes
Non-natural causes
Other natural causes
Metabolic disorders (E70-E90)
Other acute lower respiratory infections (J20-J22)
Cerebral palsy and other paralytic syndromes (G80-G83)
Other diseases of the respiratory system (J95-J99)
Human immunodeficiency virus [HIV] disease (B20-B24)
Other viral diseases (B25-B34)
Tuberculosis (A15-A19)*
Influenza and pneumonia (J09-J18)
Malnutrition (E40-E46)
Intestinal infectious diseases (A00-A09)
All North West, males, 1–14
All causes
Non-natural causes
Other natural causes
Other acute lower respiratory infections (J20-J22)
Other bacterial diseases (A30-A49)
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
Infections specific to the perinatal period (P35-P39)
Disorders related to length of gestation and fetal growth (P05-P08)
Malnutrition (E40-E46)
Other disorders originating in the perinatal period (P90-P96)
Influenza and pneumonia (J09-J18)
Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)
Intestinal infectious diseases (A00-A09)
All North West, males, Age 0
All causes
Non-natural causes
Other natural causes
Chronic lower respiratory diseases (J40-J47)
Diabetes mellitus (E10-E14)
Other viral diseases (B25-B34)
Hypertensive diseases (I10-I15)
Intestinal infectious diseases (A00-A09)
Cerebrovascular diseases (I60-I69)
Human immunodeficiency virus [HIV] disease (B20-B24)
Other forms of heart disease (I30-I52)
Influenza and pneumonia (J09-J18)
Tuberculosis (A15-A19)*
North West, males, all ages
No.
%
100,0
17,9
27,9
1,5
1,6
1,6
1,9
1,9
2,9
4,8
6,5
12,2
19,2
%
100,0
2,2
28,6
1,8
1,8
2,2
4,3
4,7
5,4
6,3
8,2
15,8
18,7
%
100,0
11,6
41,7
2,7
2,9
3,5
3,7
3,9
4,2
4,3
5,7
5,7
10,1
10
9
8
6
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
North West, females, all ages
All causes
Non-natural causes
Other natural causes
Inflammatory diseases of the central nervous system (G00-G09)
Episodic and paroxysmal disorders (G40-G47)
Other forms of heart disease (I30-I52)
Other acute lower respiratory infections (J20-J22)
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
Influenza and pneumonia (J09-J18)
Malnutrition (E40-E46)
Intestinal infectious diseases (A00-A09)
All North West, females, 1–14
All causes
Non-natural causes
Other natural causes
Other diseases of the respiratory system (J95-J99)
Other viral diseases (B25-B34)
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
Disorders related to length of gestation and fetal growth (P05-P08)
Infections specific to the perinatal period (P35-P39)
Other disorders originating in the perinatal period (P90-P96)
Malnutrition (E40-E46)
Influenza and pneumonia (J09-J18)
Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)
Intestinal infectious diseases (A00-A09)
All North West, females, Age 0
All causes
Non-natural causes
Other natural causes
Malignant neoplasms of female genital organs (C51-C58)
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
Intestinal infectious diseases (A00-A09)
Diabetes mellitus (E10-E14)
Influenza and pneumonia (J09-J18)
Cerebrovascular diseases (I60-I69)
Other forms of heart disease (I30-I52)
Hypertensive diseases (I10-I15)
Tuberculosis (A15-A19)*
658
113
200
7
10
11
12
12
18
28
49
76
122
No.
1 140
28
353
18
19
30
46
47
57
59
107
169
207
No.
16 034
685
6 994
364
566
709
732
812
871
882
1 030
1 193
1 196
No.
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
728
130
203
11
12
12
14
14
21
35
47
89
140
No.
1 360
30
389
25
25
30
58
64
73
85
112
215
254
No.
18 769
2 171
7 831
507
553
653
696
725
785
812
1 064
1 068
1 904
Appendix M6: The ten leading underlying natural causes of death by age and sex: North West, 2014
Statistics South Africa
%
100,0
17,2
30,4
1,1
1,5
1,7
1,8
1,8
2,7
4,3
7,4
11,6
18,5
%
100,0
2,5
31,0
1,6
1,7
2,6
4,0
4,1
5,0
5,2
9,4
14,8
18,2
%
100,0
4,3
43,6
2,3
3,5
4,4
4,6
5,1
5,4
5,5
6,4
7,4
7,5
104
Intestinal infectious diseases (A00-A09)
7
No.
9 827
All causes
323 282
Cerebrovascular diseases (I60-I69)
Diabetes mellitus (E10-E14)
Chronic lower respiratory diseases (J40-J47)
Influenza and pneumonia (J09-J18)
Tuberculosis (A15-A19)*
Ischaemic heart diseases (I20-I25)
Malignant neoplasms of digestive organs (C15-C26)
Intestinal infectious diseases (A00-A09)
3
4
5
6
7
8
9
10
*Including deaths due to MDR-TB and XDR-TB
11 024
210
Non-natural causes
All causes
4 491
Other natural causes
266
355
432
449
756
1 086
1 102
Other forms of heart disease (I30-I52)
2
No.
1 272
Hypertensive diseases (I10-I15)
1
All North West, both sexes, 65+
10 060
586
All causes
Non-natural causes
256
4 272
Certain disorders involving the immune mechanism (D80-D89)
10
284
423
447
489
518
524
532
631
1 098
Other natural causes
Chronic lower respiratory diseases (J40-J47)
Human immunodeficiency virus [HIV] disease (B20-B24)
6
9
Diabetes mellitus (E10-E14)
5
Cerebrovascular diseases (I60-I69)
Hypertensive diseases (I10-I15)
4
Other viral diseases (B25-B34)
Influenza and pneumonia (J09-J18)
3
8
Other forms of heart disease (I30-I52)
2
7
Tuberculosis (A15-A19)*
1
No.
1 746
Non-natural causes
All North West, both sexes, 45–64
2 918
112
121
126
234
319
397
663
694
935
1 562
Other natural causes
Other bacterial diseases (A30-A49)
Other forms of heart disease (I30-I52)
6
10
Certain disorders involving the immune mechanism (D80-D89)
5
Cerebrovascular diseases (I60-I69)
Influenza and pneumonia (J09-J18)
4
Other acute lower respiratory infections (J20-J22)
Other viral diseases (B25-B34)
3
9
Human immunodeficiency virus [HIV] disease (B20-B24)
2
8
Tuberculosis (A15-A19)*
1
North West, both sexes, all ages
100,0
1,9
40,7
2,4
2,6
2,9
3,2
3,9
4,1
6,9
9,9
10,0
11,5
%
100,0
5,8
42,5
2,5
2,8
4,2
4,4
4,9
5,1
5,2
5,3
6,3
10,9
%
100,0
17,8
29,7
1,1
1,2
1,3
2,4
3,2
4,0
6,7
7,1
9,5
15,9
%
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
All causes
Non-natural causes
Other natural causes
Ischaemic heart diseases (I20-I25)
Malignant neoplasms of male genital organs (C60-C63)
Malignant neoplasms of digestive organs (C15-C26)
Influenza and pneumonia (J09-J18)
Tuberculosis (A15-A19)*
Chronic lower respiratory diseases (J40-J47)
Diabetes mellitus (E10-E14)
Hypertensive diseases (I10-I15)
Cerebrovascular diseases (I60-I69)
Other forms of heart disease (I30-I52)
All North West, males, 65+
All causes
Non-natural causes
Other natural causes
Malignant neoplasms of digestive organs (C15-C26)
Chronic lower respiratory diseases (J40-J47)
Diabetes mellitus (E10-E14)
Hypertensive diseases (I10-I15)
Cerebrovascular diseases (I60-I69)
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
Influenza and pneumonia (J09-J18)
Other forms of heart disease (I30-I52)
Tuberculosis (A15-A19)*
All North West, males, 45–64
All causes
Non-natural causes
Other natural causes
Episodic and paroxysmal disorders (G40-G47)
Inflammatory diseases of the central nervous system (G00-G09)
Cerebrovascular diseases (I60-I69)
Intestinal infectious diseases (A00-A09)
Other forms of heart disease (I30-I52)
Certain disorders involving the immune mechanism (D80-D89)
Influenza and pneumonia (J09-J18)
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
North West, males, all ages
%
100,0
2,4
41,1
3,0
3,1
3,5
4,7
4,8
5,3
5,7
8,0
8,8
9,5
%
100,0
7,6
41,1
2,7
3,3
3,6
4,0
4,1
4,2
4,7
5,7
6,4
12,6
%
100,0
25,9
25,7
1,2
1,2
1,5
1,8
3,0
3,5
5,8
6,2
8,7
15,6
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
North West, females, all ages
All causes
Non-natural causes
Other natural causes
Tuberculosis (A15-A19)*
Malignant neoplasms of female genital organs (C51-C58)
Intestinal infectious diseases (A00-A09)
Ischaemic heart diseases (I20-I25)
Chronic lower respiratory diseases (J40-J47)
Influenza and pneumonia (J09-J18)
Diabetes mellitus (E10-E14)
Other forms of heart disease (I30-I52)
Cerebrovascular diseases (I60-I69)
Hypertensive diseases (I10-I15)
All North West, females, 65+
All causes
Non-natural causes
Other natural causes
Intestinal infectious diseases (A00-A09)
Malignant neoplasms of female genital organs (C51-C58)
Other viral diseases (B25-B34)
Influenza and pneumonia (J09-J18)
Cerebrovascular diseases (I60-I69)
Human immunodeficiency virus [HIV] disease (B20-B24)
Other forms of heart disease (I30-I52)
Hypertensive diseases (I10-I15)
Diabetes mellitus (E10-E14)
Tuberculosis (A15-A19)*
All North West, females, 45–64
All causes
Non-natural causes
Other natural causes
Other bacterial diseases (A30-A49)
Other acute lower respiratory infections (J20-J22)
Malignant neoplasms of female genital organs (C51-C58)
Intestinal infectious diseases (A00-A09)
Other forms of heart disease (I30-I52)
Certain disorders involving the immune mechanism (D80-D89)
Influenza and pneumonia (J09-J18)
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
5 862
85
2 300
109
126
152
165
176
187
459
610
635
858
No.
4 039
131
1 706
114
161
168
186
199
207
243
285
301
338
No.
4 324
325
1 435
67
70
77
136
156
207
342
351
455
703
No.
%
7,5
33,2
1,5
1,6
1,8
3,1
3,6
4,8
7,9
8,1
10,5
16,3
100,0
1,5
39,2
1,9
2,1
2,6
2,8
3,0
3,2
7,8
10,4
10,8
14,6
%
100,0
3,2
42,2
2,8
4,0
4,2
4,6
4,9
5,1
6,0
7,1
7,5
8,4
%
100,0
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
5 153
125
2 117
157
161
180
244
245
273
296
413
451
491
No.
6 003
454
2 467
162
196
216
239
248
253
282
344
386
756
No.
5 467
1 414
1 406
64
66
83
96
162
189
317
339
476
855
No.
Appendix M6: The ten leading underlying natural causes of death by age and sex: North West, 2014 (concluded)
Statistics South Africa
105
2 753
2 488
Hypertensive diseases (I10-I15)
Human immunodeficiency virus [HIV] disease (B20-B24)
Ischaemic heart diseases (I20-I25)
Other viral diseases (B25-B34)
Chronic lower respiratory diseases (J40-J47)
6
7
8
9
10
%
Other diseases of the respiratory system (J95-J99)
Human immunodeficiency virus [HIV] disease (B20-B24)
Inflammatory diseases of the central nervous system (G00-G09)
Other viral diseases (B25-B34)
Other forms of heart disease (I30-I52)
Cerebral palsy and other paralytic syndromes (G80-G83)
5
6
7
8
8
10
46
50
50
56
57
67
87
*Including deaths due to MDR-TB and XDR-TB.
All causes
2 613
651
Tuberculosis (A15-A19)*
4
88
185
Non-natural causes
Malnutrition (E40-E46)
3
1 071
Intestinal infectious diseases (A00-A09)
2
205
No.
6 147
Other natural causes
Influenza and pneumonia (J09-J18)
1
All Gauteng, both sexes, 1–14
All causes
159
139
Non-natural causes
Other bacterial diseases (A30-A49)
10
143
2 365
Digestive system disorders of fetus and newborn (P75-P78)
9
202 168
Other natural causes
Disorders related to length of gestation and fetal growth (P05-P08)
Congenital malformations of the circulatory system (Q20-Q28)
8
248
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
6
7
371
410
Influenza and pneumonia (J09-J18)
449
Other disorders originating in the perinatal period (P90-P96)
3
466
5
Infections specific to the perinatal period (P35-P39)
2
4
Intestinal infectious diseases (A00-A09)
1
1 027
%
No.
Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)
All Gauteng, both sexes, Age 0
100,0
96 736
All causes
48,8
100,0
24,9
41,0
1,8
1,9
1,9
2,1
2,2
2,6
3,3
3,4
7,1
7,8
%
100,0
2,6
38,5
2,3
2,3
2,7
3,3
4,0
6,0
6,7
7,3
7,6
16,7
10,8
47 250
10 425
Non-natural causes
2,3
2,6
2,8
3,1
3,4
4,2
4,2
5,5
5,5
6,7
Other natural causes
2 266
2 980
3 269
4 034
4 073
Cerebrovascular diseases (I60-I69)
5 323
5 358
Diabetes mellitus (E10-E14)
Other forms of heart disease (I30-I52)
3
5
Influenza and pneumonia (J09-J18)
2
No.
6 517
4
Tuberculosis (A15-A19)*
1
Gauteng, both sexes, all ages
10
8
8
6
6
5
4
3
2
1
10
9
8
7
6
4
4
3
2
1
10
9
8
7
6
5
4
3
2
1
All causes
Non-natural causes
Other natural causes
Cerebral palsy and other paralytic syndromes (G80-G83) Malignant neoplasms, stated or presumed to be primary, of lymphoid, haematopoietic and related tissue (C81-C96)
Other viral diseases (B25-B34)
Inflammatory diseases of the central nervous system (G00-G09)
Human immunodeficiency virus [HIV] disease (B20-B24)
Other diseases of the respiratory system (J95-J99)
Tuberculosis (A15-A19)*
Malnutrition (E40-E46)
Influenza and pneumonia (J09-J18)
Intestinal infectious diseases (A00-A09)
All Gauteng, males, 1–14
All causes
Non-natural causes
Other natural causes
Haemorrhagic and haematological disorders of fetus and newborn (P50-P61)
Digestive system disorders of fetus and newborn (P75-P78)
Congenital malformations of the circulatory system (Q20-Q28)
Disorders related to length of gestation and fetal growth (P05-P08)
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
Other disorders originating in the perinatal period (P90-P96)
Influenza and pneumonia (J09-J18)
Infections specific to the perinatal period (P35-P39)
Intestinal infectious diseases (A00-A09)
Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)
All Gauteng, males, Age 0
All causes
Non-natural causes
Other natural causes
Other viral diseases (B25-B34)
Malignant neoplasms of digestive organs (C15-C26)
Chronic lower respiratory diseases (J40-J47)
Human immunodeficiency virus [HIV] disease (B20-B24)
Ischaemic heart diseases (I20-I25)
Diabetes mellitus (E10-E14)
Cerebrovascular diseases (I60-I69)
Other forms of heart disease (I30-I52)
Influenza and pneumonia (J09-J18)
Tuberculosis (A15-A19)*
Gauteng, males, all ages
Appendix M7: The ten leading underlying natural causes of death by age and sex: Gauteng, 2014
Statistics South Africa
No.
%
100,0
28,6
38,0
1,8
1,8
1,8
2,0
2,0
2,0
3,6
3,7
7,3
7,5
%
100,0
2,3
38,0
2,4
2,4
2,9
3,3
4,0
6,2
6,2
7,3
7,7
17,5
%
100,0
15,5
46,0
2,5
2,5
2,5
3,1
3,2
3,5
3,7
5,0
5,3
7,3
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
Gauteng, females, all ages
All causes
Non-natural causes
Other natural causes
Congenital malformations of the circulatory system (Q20-Q28)
Other viral diseases (B25-B34)
Inflammatory diseases of the central nervous system (G00-G09)
Human immunodeficiency virus [HIV] disease (B20-B24)
Other forms of heart disease (I30-I52)
Malnutrition (E40-E46)
Other diseases of the respiratory system (J95-J99)
Tuberculosis (A15-A19)*
Intestinal infectious diseases (A00-A09)
Influenza and pneumonia (J09-J18)
All Gauteng, females, 1–14
All causes
Non-natural causes
Other natural causes
Other acute lower respiratory infections (J20-J22)
Other bacterial diseases (A30-A49)
Congenital malformations of the circulatory system (Q20-Q28)
Disorders related to length of gestation and fetal growth (P05-P08)
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
Other disorders originating in the perinatal period (P90-P96)
Infections specific to the perinatal period (P35-P39)
Influenza and pneumonia (J09-J18)
Intestinal infectious diseases (A00-A09)
Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)
All Gauteng, females, Age 0
All causes
Non-natural causes
Other natural causes
Ischaemic heart diseases (I20-I25)
Intestinal infectious diseases (A00-A09)
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
Hypertensive diseases (I10-I15)
Cerebrovascular diseases (I60-I69)
Diabetes mellitus (E10-E14)
Influenza and pneumonia (J09-J18)
Other forms of heart disease (I30-I52)
Tuberculosis (A15-A19)*
No.
1 176
245
518
21
23
27
28
29
34
36
36
77
102
No.
2 742
74
1 081
61
67
72
87
109
151
202
205
206
427
No.
44 759
2 302
23 070
1 087
1 169
1 202
1 357
2 050
2 189
2 264
2 598
2 722
2 749
%
5,1
51,5
2,4
2,6
2,7
3,0
4,6
4,9
5,1
5,8
6,1
6,1
100,0
20,8
44,0
1,8
2,0
2,3
2,4
2,5
2,9
3,1
3,1
6,5
8,7
%
100,0
2,7
39,4
2,2
2,4
2,6
3,2
4,0
5,5
7,4
7,5
7,5
15,6
%
100,0
Mortality and causes of death in South Africa, 2014: Findings from death notification
1 415
404
537
25
26
26
28
28
29
51
52
103
106
No.
3 232
75
1 228
77
78
93
106
128
199
199
236
249
564
No.
51 186
7 912
23 528
1 265
1 282
1 302
1 594
1 654
1 766
1 872
2 578
2 721
3 712
P0309.3
106
No.
546 463
Other viral diseases (B25-B34)
Certain disorders involving the immune mechanism (D80-D89)
Other forms of heart disease (I30-I52)
Intestinal infectious diseases (A00-A09)
Inflammatory diseases of the central nervous system (G00-G09)
Protozoal diseases (B50-B64)
Cerebrovascular diseases (I60-I69)
4
5
6
7
8
9
10
Other viral diseases (B25-B34)
10
789
854
*Including deaths due to MDR-TB and XDR-TB.
All causes
31 196
1 039
618
Non-natural causes
10
733
1 126
13 735
Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)
9
1 389
1 482
1 713
2 142
2 256
2 285
2 678
No.
27 770
Other natural causes
Malignant neoplasms of digestive organs (C15-C26)
Renal failure (N17-N19)
8
Influenza and pneumonia (J09-J18)
5
Chronic lower respiratory diseases (J40-J47)
Ischaemic heart diseases (I20-I25)
4
7
Hypertensive diseases (I10-I15)
3
6
Cerebrovascular diseases (I60-I69)
Diabetes mellitus (E10-E14)
2
Other forms of heart disease (I30-I52)
1
All Gauteng, both sexes, 65+
All causes
1 890
Ischaemic heart diseases (I20-I25)
9
915
Non-natural causes
Malignant neoplasms of digestive organs (C15-C26)
8
924
964
1 334
1 386
1 487
1 628
13 326
Hypertensive diseases (I10-I15)
7
No.
2 273
Other natural causes
Cerebrovascular diseases (I60-I69)
Human immunodeficiency virus [HIV] disease (B20-B24)
Influenza and pneumonia (J09-J18)
4
6
Diabetes mellitus (E10-E14)
3
5
Other forms of heart disease (I30-I52)
2
All Gauteng, both sexes, 45–64
Tuberculosis (A15-A19)*
1
28 588
Non-natural causes
All causes
9 553
6 523
Other natural causes
437
578
883
889
1 471
1 819
1 843
Influenza and pneumonia (J09-J18)
Human immunodeficiency virus [HIV] disease (B20-B24)
3
3 583
2
Tuberculosis (A15-A19)*
1
Gauteng, both sexes, 15−44
100,0
3,3
44,0
2,0
2,3
3,6
4,5
4,8
5,5
6,9
7,2
7,3
8,6
%
100,0
6,8
48,0
2,8
3,1
3,3
3,3
3,5
4,8
5,0
5,4
5,9
8,2
%
100,0
22,8
33,4
1,5
1,6
1,9
2,0
3,1
3,1
5,1
6,4
6,4
12,5
%
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
All causes
Non-natural causes
Other natural causes
Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)
Malignant neoplasms of male genital organs (C60-C63)
Malignant neoplasms of digestive organs (C15-C26)
Influenza and pneumonia (J09-J18)
Hypertensive diseases (I10-I15)
Chronic lower respiratory diseases (J40-J47)
Diabetes mellitus (E10-E14)
Cerebrovascular diseases (I60-I69)
Ischaemic heart diseases (I20-I25)
Other forms of heart disease (I30-I52)
All Gauteng, males, 65+
All causes
Non-natural causes
Other natural causes
Other viral diseases (B25-B34)
Chronic lower respiratory diseases (J40-J47)
Malignant neoplasms of digestive organs (C15-C26)
Human immunodeficiency virus [HIV] disease (B20-B24)
Ischaemic heart diseases (I20-I25)
Cerebrovascular diseases (I60-I69)
Diabetes mellitus (E10-E14)
Influenza and pneumonia (J09-J18)
Other forms of heart disease (I30-I52)
Tuberculosis (A15-A19)*
All Gauteng, males, 45–64
All causes
Non-natural causes
Other natural causes
Renal failure (N17-N19)
Cerebrovascular diseases (I60-I69)
Intestinal infectious diseases (A00-A09)
Inflammatory diseases of the central nervous system (G00-G09)
Certain disorders involving the immune mechanism (D80-D89)
Other forms of heart disease (I30-I52)
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
Influenza and pneumonia (J09-J18)
Tuberculosis (A15-A19)*
Gauteng, males, 15−44
%
100,0
3,8
42,5
2,8
3,9
4,3
4,7
5,0
5,4
6,5
6,6
6,7
8,0
%
100,0
8,8
45,7
2,8
2,8
3,5
3,6
3,8
4,5
4,5
5,2
5,7
9,1
%
100,0
33,1
28,7
1,3
1,4
1,5
1,7
2,5
3,1
4,3
5,5
5,6
11,3
10
9
8
7
6
5
4
3
2
1
9
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
Gauteng, females, 15−44
All causes
Non-natural causes
Other natural causes
Renal failure (N17-N19)
Other bacterial diseases (A30-A49)
Malignant neoplasms of digestive organs (C15-C26)
Chronic lower respiratory diseases (J40-J47)
Ischaemic heart diseases (I20-I25)
Influenza and pneumonia (J09-J18)
Diabetes mellitus (E10-E14)
Cerebrovascular diseases (I60-I69)
Hypertensive diseases (I10-I15)
Other forms of heart disease (I30-I52)
All Gauteng, females, 65+
All causes
Non-natural causes
Other natural causes
Malignant neoplasms of breast (C50)
Malignant neoplasms of digestive organs (C15-C26)
Human immunodeficiency virus [HIV] disease (B20-B24)
Malignant neoplasms of female genital organs (C51-C58)
Hypertensive diseases (I10-I15)
Influenza and pneumonia (J09-J18)
Cerebrovascular diseases (I60-I69)
Other forms of heart disease (I30-I52)
Diabetes mellitus (E10-E14)
Tuberculosis (A15-A19)*
All Gauteng, females, 45–64
All causes
Non-natural causes
Other natural causes
Malignant neoplasms of female genital organs (C51-C58)
Inflammatory diseases of the central nervous system (G00-G09)
Protozoal diseases (B50-B64)
Intestinal infectious diseases (A00-A09)
Other forms of heart disease (I30-I52)
Certain disorders involving the immune mechanism (D80-D89)
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
Influenza and pneumonia (J09-J18)
Tuberculosis (A15-A19)*
17 407
518
7 547
371
378
535
643
793
840
1 366
1 379
1 455
1 582
No.
11 491
452
5 614
351
351
369
473
493
537
598
706
754
793
No.
11 884
1 007
4 667
249
266
282
324
370
479
753
894
906
1 687
No.
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
13 761
520
5 853
379
542
591
642
684
746
889
903
918
1 094
No.
16 190
1 424
7 404
448
457
563
589
617
729
733
839
918
1 469
No.
16 387
5 416
4 705
208
230
250
274
406
505
706
909
921
1 857
No.
Appendix M7: The ten leading underlying natural causes of death by age and sex: Gauteng, 2014 (concluded)
Statistics South Africa
%
100,0
3,0
43,4
2,1
2,2
3,1
3,7
4,6
4,8
7,8
7,9
8,4
9,1
%
100,0
3,9
48,9
3,1
3,1
3,2
4,1
4,3
4,7
5,2
6,1
6,6
6,9
%
100,0
8,5
39,3
2,1
2,2
2,4
2,7
3,1
4,0
6,3
7,5
7,6
14,2
107
Other forms of heart disease (I30-I52)
Certain disorders involving the immune mechanism (D80-D89)
9
10
851
1 508
1 531
85
68
Influenza and pneumonia (J09-J18)
Other disorders originating in the perinatal period (P90-P96)
Disorders related to length of gestation and fetal growth (P05-P08)
Malnutrition (E40-E46)
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
Infections specific to the perinatal period (P35-P39)
Certain disorders involving the immune mechanism (D80-D89) Other acute lower respiratory infections (J20-J22)
3
4
5
6
7
8
9 10
*Including deaths due to MDR-TB and XDR-TB.
All causes
1 340
398
304
27
27
32
39
40
41
58
73
113
Non-natural causes
Other diseases of the respiratory system (J95-J99)
9
No.
188
Other natural causes
Inflammatory diseases of the central nervous system (G00-G09)
Certain disorders involving the immune mechanism (D80-D89)
Other viral diseases (B25-B34)
7
9
Other acute lower respiratory infections (J20-J22)
6
8
Malnutrition (E40-E46)
Human immunodeficiency virus [HIV] disease (B20-B24)
5
3
4
Influenza and pneumonia (J09-J18)
Tuberculosis (A15-A19)*
2
Intestinal infectious diseases (A00-A09)
All Mpumalanga, both sexes, 1–14
1
2 036
89
Non-natural causes
All causes
566
Other natural causes
41 39
51
86
87
233
294
Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29)
2
397
Intestinal infectious diseases (A00-A09)
No.
35 002
1
All Mpumalanga, both sexes, Age 0
All causes
3 708
Intestinal infectious diseases (A00-A09)
8
1 547
1 563
1 660
1 822
13 311
Other viral diseases (B25-B34)
7
2 098
1 958
Non-natural causes
Hypertensive diseases (I10-I15)
6
No.
3 445
Other natural causes
Cerebrovascular diseases (I60-I69)
Diabetes mellitus (E10-E14)
Influenza and pneumonia (J09-J18)
3
5
Human immunodeficiency virus [HIV] disease (B20-B24)
2
4
Tuberculosis (A15-A19)*
1
Mpumalanga, both sexes, all ages
100,0
22,7
29,7
2,0
2,0
2,4
2,9
3,0
3,1
4,3
5,4
8,4
14,0
%
100,0
4,4
27,8
2,0 1,9
2,5
3,3
4,2
4,2
4,3
11,4
14,4
19,5
%
100,0
10,6
38,0
2,4
4,3
4,4
4,4
4,5
4,7
5,2
5,6
6,0
9,8
%
8
8
8
7
5
5
4
3
2
1
9 9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
All causes
Non-natural causes
Other natural causes
Other diseases of the respiratory system (J95-J99)
Other acute lower respiratory infections (J20-J22)
Other forms of heart disease (I30-I52)
Inflammatory diseases of the central nervous system (G00-G09)
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
Malnutrition (E40-E46)
Tuberculosis (A15-A19)*
Influenza and pneumonia (J09-J18)
Intestinal infectious diseases (A00-A09)
All Mpumalanga, males, 1–14
All causes
Non-natural causes
Other natural causes
Other bacterial diseases (A30-A49) Other acute lower respiratory infections (J20-J22)
Infections specific to the perinatal period (P35-P39)
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
Malnutrition (E40-E46)
Disorders related to length of gestation and fetal growth (P05-P08)
Other disorders originating in the perinatal period (P90-P96)
Influenza and pneumonia (J09-J18)
Respiratory and cardiovascular disorders specific to the perinatal period (P20-P29)
Intestinal infectious diseases (A00-A09)
All Mpumalanga, males, Age 0
All causes
Non-natural causes
Other natural causes
Chronic lower respiratory diseases (J40-J47)
Diabetes mellitus (E10-E14)
Hypertensive diseases (I10-I15)
Other forms of heart disease (I30-I52)
Intestinal infectious diseases (A00-A09)
Other viral diseases (B25-B34)
Cerebrovascular diseases (I60-I69)
Influenza and pneumonia (J09-J18)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
Mpumalanga, males, all ages
%
100,0
24,8
27,9
2,2
2,2
2,2
2,6
3,0
3,0
4,1
5,0
7,8
15,3
%
100,0
4,5
28,6
2,1 2,1
2,5
2,8
3,7
4,2
4,7
11,6
13,1
20,2
%
100,0
15,4
36,4
2,4
3,3
3,3
3,8
4,0
4,1
4,2
5,6
6,3
11,1
10
9
8
7
6
5
4
3
2
1
9 10
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
Mpumalanga, females, all ages
No.
All causes
Non-natural causes
Other natural causes
Certain disorders involving the immune mechanism (D80-D89)
Episodic and paroxysmal disorders (G40-G47)
Other bacterial diseases (A30-A49)
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
Other acute lower respiratory infections (J20-J22)
Malnutrition (E40-E46)
Tuberculosis (A15-A19)*
Influenza and pneumonia (J09-J18)
Intestinal infectious diseases (A00-A09)
All Mpumalanga, females, 1–14
All causes
Non-natural causes
Other natural causes
Certain disorders involving the immune mechanism (D80-D89) Other acute lower respiratory infections (J20-J22)
Infections specific to the perinatal period (P35-P39)
Other disorders originating in the perinatal period (P90-P96)
599
122
181
13
14
16
17
19
24
27
36
56
74
No.
948
40
254
21 16
24
33
35
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
46 40
Disorders related to length of gestation and fetal growth (P05-P08)
Malnutrition (E40-E46)
109
148
Respiratory and cardiovascular disorders specific to the perinatal period (P20P29) Influenza and pneumonia (J09-J18)
182
No.
16 637
881
6 589
439
786
797
810
930
940
950
1 050
1 058
1 407
Intestinal infectious diseases (A00-A09)
All Mpumalanga, females, Age 0
All causes
Non-natural causes
Other natural causes
Certain disorders involving the immune mechanism (D80-D89)
Other viral diseases (B25-B34)
Intestinal infectious diseases (A00-A09)
Other forms of heart disease (I30-I52)
Influenza and pneumonia (J09-J18)
Human immunodeficiency virus [HIV] disease (B20-B24)
Hypertensive diseases (I10-I15)
Cerebrovascular diseases (I60-I69)
Diabetes mellitus (E10-E14)
Tuberculosis (A15-A19)*
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
734
182
205
16
16
16
19
22
22
30
37
57
112
No.
1 056
48
302
22 22
26
30
39
44
50
122
138
213
No.
18 244
2 818
6 637
435
602
611
690
730
756
766
1 021
1 150
2 028
No.
Appendix M8: The ten leading underlying natural causes of death by age and sex: Mpumalanga, 2014
Statistics South Africa
%
100,0
20,4
30,2
2,2
2,3
2,7
2,8
3,2
4,0
4,5
6,0
9,3
12,4
%
100,0
4,2
26,8
2,2 1,7
2,5
3,5
3,7
4,2
4,9
11,5
15,6
19,2
%
100,0
5,3
39,6
2,6
4,7
4,8
4,9
5,6
5,7
5,7
6,3
6,4
8,5
108
Other acute lower respiratory infections (J20-J22)
7
No.
2 353
*Including deaths due to MDR-TB and XDR-TB.
9 797
270
All causes
Non-natural causes
202
272
331
355
367
490
806
913
1 035
3 625
Other acute lower respiratory infections (J20-J22)
10
No.
1 131
Other natural causes
Intestinal infectious diseases (A00-A09)
9
6
Tuberculosis (A15-A19)*
Ischaemic heart diseases (I20-I25)
5
Chronic lower respiratory diseases (J40-J47)
Influenza and pneumonia (J09-J18)
4
8
Other forms of heart disease (I30-I52)
3
7
Hypertensive diseases (I10-I15)
Diabetes mellitus (E10-E14)
2
Cerebrovascular diseases (I60-I69)
All Mpumalanga, both sexes, 65+
1
9 815
671
All causes
3 868
262
301
435
441
470
525
525
611
617
Non-natural causes
Ischaemic heart diseases (I20-I25)
10
No.
1 089
Other natural causes
Other forms of heart disease (I30-I52)
Intestinal infectious diseases (A00-A09)
Hypertensive diseases (I10-I15)
7
9
Other viral diseases (B25-B34)
6
8
Cerebrovascular diseases (I60-I69)
Influenza and pneumonia (J09-J18)
5
Diabetes mellitus (E10-E14)
3
4
Human immunodeficiency virus [HIV] disease (B20-B24)
2
All Mpumalanga, both sexes, 45–64
Tuberculosis (A15-A19)*
1
11 924
Non-natural causes
All causes
3 054
179
191
225
277
372
488
592
956
1 335
1 902
Other natural causes
Protozoal diseases (B50-B64)
Intestinal infectious diseases (A00-A09)
6
10
Certain disorders involving the immune mechanism (D80-D89)
5
Other forms of heart disease (I30-I52)
Influenza and pneumonia (J09-J18)
4
Inflammatory diseases of the central nervous system (G00-G09)
Other viral diseases (B25-B34)
3
9
Human immunodeficiency virus [HIV] disease (B20-B24)
2
8
Tuberculosis (A15-A19)*
1
Mpumalanga, both sexes, 15−44
100,0
2,8
37,0
2,1
2,8
3,4
3,6
3,7
5,0
8,2
9,3
10,6
11,5
%
100,0
6,8
39,4
2,7
3,1
4,4
4,5
4,8
5,3
5,3
6,2
6,3
11,1
%
100,0
19,7
25,6
1,5
1,6
1,9
2,3
3,1
4,1
5,0
8,0
11,2
16,0
%
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
All causes
Non-natural causes
Other natural causes
Other acute lower respiratory infections (J20-J22)
Malignant neoplasms of male genital organs (C60-C63)
Ischaemic heart diseases (I20-I25)
Chronic lower respiratory diseases (J40-J47)
Influenza and pneumonia (J09-J18)
Tuberculosis (A15-A19)*
Diabetes mellitus (E10-E14)
Other forms of heart disease (I30-I52)
Hypertensive diseases (I10-I15)
Cerebrovascular diseases (I60-I69)
All Mpumalanga, males, 65+
All causes
Non-natural causes
Other natural causes
Ischaemic heart diseases (I20-I25)
Chronic lower respiratory diseases (J40-J47)
Hypertensive diseases (I10-I15)
Other forms of heart disease (I30-I52)
Diabetes mellitus (E10-E14)
Other viral diseases (B25-B34)
Cerebrovascular diseases (I60-I69)
Influenza and pneumonia (J09-J18)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
All Mpumalanga, males, 45–64
All causes
Non-natural causes
Other natural causes
Cerebrovascular diseases (I60-I69)
Inflammatory diseases of the central nervous system (G00-G09)
Other forms of heart disease (I30-I52)
Other acute lower respiratory infections (J20-J22)
Intestinal infectious diseases (A00-A09)
Certain disorders involving the immune mechanism (D80-D89)
Influenza and pneumonia (J09-J18)
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
Mpumalanga, males, 15−44
%
100,0
3,5
37,6
2,3
3,3
4,2
5,1
5,4
5,5
7,3
7,6
8,6
9,7
%
100,0
9,1
38,0
2,9
2,9
3,5
4,2
4,3
4,7
5,0
5,7
6,6
13,1
%
100,0
29,4
21,9
1,0
1,4
1,6
1,9
2,4
3,3
4,5
6,5
10,7
15,4
10
9
8
7
6
5
4
3
2
1
10
9
8
6
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
Mpumalanga, females, 15−44
All causes
Non-natural causes
Other natural causes
Malignant neoplasms of female genital organs (C51-C58)
Chronic lower respiratory diseases (J40-J47)
Tuberculosis (A15-A19)*
Intestinal infectious diseases (A00-A09)
Ischaemic heart diseases (I20-I25)
Influenza and pneumonia (J09-J18)
Other forms of heart disease (I30-I52)
Diabetes mellitus (E10-E14)
Hypertensive diseases (I10-I15)
Cerebrovascular diseases (I60-I69)
All Mpumalanga, females, 65+
All causes
Non-natural causes
Other natural causes
Intestinal infectious diseases (A00-A09)
Malignant neoplasms of female genital organs (C51-C58)
Other forms of heart disease (I30-I52)
Influenza and pneumonia (J09-J18)
Other viral diseases (B25-B34)
Hypertensive diseases (I10-I15)
Cerebrovascular diseases (I60-I69)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
Diabetes mellitus (E10-E14)
All Mpumalanga, females, 45–64
All causes
Non-natural causes
Other natural causes
Malignant neoplasms of female genital organs (C51-C58)
Protozoal diseases (B50-B64)
Other forms of heart disease (I30-I52)
Other acute lower respiratory infections (J20-J22)
Intestinal infectious diseases (A00-A09)
Certain disorders involving the immune mechanism (D80-D89)
Influenza and pneumonia (J09-J18)
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)*
5 562
123
1 981
115
117
122
177
190
262
484
603
669
719
No.
4 120
153
1 607
150
176
193
202
202
239
242
244
345
367
No.
5 397
442
1 613
107
118
119
148
214
272
301
528
638
897
No.
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
4 222
147
1 586
97
138
177
214
226
232
310
321
365
409
No.
5 676
518
2 157
166
167
201
238
244
267
281
323
372
742
No.
6 494
1 906
1 421
68
88
105
126
158
215
289
425
693
1 000
No.
Appendix M8: The ten leading underlying natural causes of death by age and sex: Mpumalanga, 2014 (concluded)
Statistics South Africa
%
100,0
2,2
35,6
2,1
2,1
2,2
3,2
3,4
4,7
8,7
10,8
12,0
12,9
%
100,0
3,7
39,0
3,6
4,3
4,7
4,9
4,9
5,8
5,9
5,9
8,4
8,9
%
100,0
8,2
29,9
2,0
2,2
2,2
2,7
4,0
5,0
5,6
9,8
11,8
16,6
109
Cerebrovascular diseases (I60-I69)
Hypertensive diseases (I10-I15)
Other forms of heart disease (I30-I52)
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
Renal failure (N17-N19)
5
6
7
8
9
10
2 684
1 085
1 407
1 936
1 982
2 024
2 237
409
120
100
Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)
Other disorders originating in the perinatal period (P90-P96)
Disorders related to length of gestation and fetal growth (P05-P08)
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
Malnutrition (E40-E46)
Inflammatory diseases of the central nervous system (G00-G09)
Infections specific to the perinatal period (P35-P39) Other viral diseases (B25-B34)
3
4
5
6
7
8
8 10
33
33
Malnutrition (E40-E46)
Tuberculosis (A15-A19)*
Other viral diseases (B25-B34)
Inflammatory diseases of the central nervous system (G00-G09)
Other forms of heart disease (I30-I52)
Other bacterial diseases (A30-A49)
Human immunodeficiency virus [HIV] disease (B20-B24)
Cerebral palsy and other paralytic syndromes (G80-G83)
3
4
5
6
7
8
8
10
*Including deaths due to MDR-TB and XDR-TB.
2 283
Non-natural causes
All causes
774
374
Other natural causes
32
37
58
68
98
130
285
Influenza and pneumonia (J09-J18)
2
No.
361
Intestinal infectious diseases (A00-A09)
1
All Limpopo, both sexes, 1–14
3 144
145
Non-natural causes
All causes
1 015
Other natural causes
68 55
68
84
146
453
Influenza and pneumonia (J09-J18)
2
481
Intestinal infectious diseases (A00-A09)
No.
47 849
1
All Limpopo, both sexes, Age 0
All causes
3 952
Diabetes mellitus (E10-E14)
4
2 767
3 545
20 319
Intestinal infectious diseases (A00-A09)
3
Non-natural causes
Tuberculosis (A15-A19)*
2
No.
3 911
Other natural causes
Influenza and pneumonia (J09-J18)
1
Limpopo, both sexes, all ages
100,0
16,4
33,9
1,4
1,4
1,4
1,6
2,5
3,0
4,3
5,7
12,5
15,8
%
100,0
4,6
32,3
2,2 1,7
2,2
2,7
3,2
3,8
4,6
13,0
14,4
15,3
%
100,0
8,3
42,5
2,3
2,9
4,0
4,1
4,2
4,7
5,6
5,8
7,4
8,2
%
8
8
8
7
6
5
4
3
2
1
8 10
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
No.
All causes
Non-natural causes
Other natural causes
Episodic and paroxysmal disorders (G40-G47)
Human immunodeficiency virus [HIV] disease (B20-B24)
Other bacterial diseases (A30-A49)
Cerebral palsy and other paralytic syndromes (G80-G83)
Inflammatory diseases of the central nervous system (G00-G09)
Other viral diseases (B25-B34)
Tuberculosis (A15-A19)*
Malnutrition (E40-E46)
Influenza and pneumonia (J09-J18)
Intestinal infectious diseases (A00-A09)
All Limpopo, males, 1–14
All causes
Non-natural causes
Other natural causes
Infections specific to the perinatal period (P35-P39) Haemorrhagic and haematological disorders of fetus and newborn (P50-P61)
Inflammatory diseases of the central nervous system (G00-G09)
Malnutrition (E40-E46)
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
Disorders related to length of gestation and fetal growth (P05-P08)
Other disorders originating in the perinatal period (P90-P96)
%
100,0
18,1
33,0
1,2
1,2
1,2
1,4
2,4
3,0
3,9
5,8
11,8
16,8
%
100,0
5,0
31,8
2,1 1,9
2,1
2,9
3,0
3,9
5,0
12,7
13,7
16,1
%
100,0
12,1
41,1
2,3
2,8
3,6
3,7
3,8
3,9
4,6
5,6
8,0
8,6
10
8
8
7
6
5
4
3
2
1
9 10
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
All causes
Non-natural causes
Other natural causes
Cerebral palsy and other paralytic syndromes (G80-G83)
Human immunodeficiency virus [HIV] disease (B20-B24)
Other bacterial diseases (A30-A49)
Other forms of heart disease (I30-I52)
Inflammatory diseases of the central nervous system (G00-G09)
Other viral diseases (B25-B34)
Tuberculosis (A15-A19)*
Malnutrition (E40-E46)
Influenza and pneumonia (J09-J18)
Intestinal infectious diseases (A00-A09)
All Limpopo, females, 1–14
All causes
Non-natural causes
Other natural causes
Infections specific to the perinatal period (P35-P39) Other viral diseases (B25-B34)
Inflammatory diseases of the central nervous system (G00-G09)
Malnutrition (E40-E46)
Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery (P00-P04)
Disorders related to length of gestation and fetal growth (P05-P08)
Other disorders originating in the perinatal period (P90-P96)
Respiratory and cardiovascular disorders specific to the perinatal period (P20P29)
Intestinal infectious diseases (A00-A09)
Influenza and pneumonia (J09-J18)
All Limpopo, females, Age 0
All causes
Non-natural causes
Other natural causes
Malignant neoplasms of female genital organs (C51-C58)
Human immunodeficiency virus [HIV] disease (B20-B24)
Other viral diseases (B25-B34)
Other forms of heart disease (I30-I52)
Hypertensive diseases (I10-I15)
Cerebrovascular diseases (I60-I69)
Intestinal infectious diseases (A00-A09)
Tuberculosis (A15-A19)*
Diabetes mellitus (E10-E14)
Influenza and pneumonia (J09-J18)
Limpopo, females, all ages
1 050
149
366
15
18
18
22
28
31
50
59
140
154
No.
1 430
58
468
31 28
33
36
49
52
55
174
209
237
No.
24 102
1 073
10 544
570
738
1 054
1 091
1 162
1 319
1 432
1 507
1 590
2 022
No.
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
1 226
222
405
15
15
15
17
30
37
48
71
145
206
No.
1 674
84
533
35 31
35
48
50
65
83
212
229
Respiratory and cardiovascular disorders specific to the perinatal period (P20P29) Influenza and pneumonia (J09-J18)
269
No.
23 633
2 855
9 705
533
666
860
877
888
917
1 092
1 325
1 883
2 032
Intestinal infectious diseases (A00-A09)
All Limpopo, males, Age 0
All causes
Non-natural causes
Other natural causes
Renal failure (N17-N19)
Human immunodeficiency virus [HIV] disease (B20-B24)
Hypertensive diseases (I10-I15)
Other viral diseases (B25-B34)
Other forms of heart disease (I30-I52)
Cerebrovascular diseases (I60-I69)
Diabetes mellitus (E10-E14)
Intestinal infectious diseases (A00-A09)
Influenza and pneumonia (J09-J18)
Tuberculosis (A15-A19)*
Limpopo, males, all ages
Appendix M9: The ten leading underlying natural causes of death by age and sex: Limpopo, 2014
Statistics South Africa
%
100,0
14,2
34,9
1,4
1,7
1,7
2,1
2,7
3,0
4,8
5,6
13,3
14,7
%
100,0
4,1
32,7
2,2 2,0
2,3
2,5
3,4
3,6
3,8
12,2
14,6
16,6
%
100,0
4,5
43,7
2,4
3,1
4,4
4,5
4,8
5,5
5,9
6,3
6,6
8,4
110
291
252
Influenza and pneumonia (J09-J18)
Human immunodeficiency virus [HIV] disease (B20-B24)
Intestinal infectious diseases (A00-A09)
Certain disorders involving the immune mechanism (D80-D89)
Inflammatory diseases of the central nervous system (G00-G09)
Other forms of heart disease (I30-I52)
Protozoal diseases (B50-B64)
Diabetes mellitus (E10-E14)
3
4
5
6
7
8
9
10
472
432
Influenza and pneumonia (J09-J18)
Other viral diseases (B25-B34)
Cerebrovascular diseases (I60-I69)
Hypertensive diseases (I10-I15)
Intestinal infectious diseases (A00-A09)
Human immunodeficiency virus [HIV] disease (B20-B24)
Other forms of heart disease (I30-I52)
Renal failure (N17-N19)
3
4
5
6
7
8
9
10
*Including deaths due to MDR-TB and XDR-TB.
All causes
17 197
418
304
Non-natural causes
10
408
432
499
713
1 199
1 279
1 363
1 516
7 510
Inflammatory diseases of the central nervous system (G00-G09)
9
No.
1 556
Other natural causes
Chronic lower respiratory diseases (J40-J47)
Tuberculosis (A15-A19)*
8
Intestinal infectious diseases (A00-A09)
Other forms of heart disease (I30-I52)
5
Renal failure (N17-N19)
Influenza and pneumonia (J09-J18)
4
7
Hypertensive diseases (I10-I15)
3
6
Cerebrovascular diseases (I60-I69)
2
All Limpopo, both sexes, 65+
Diabetes mellitus (E10-E14)
1
12 200
756
Non-natural causes
All causes
4 936
Other natural causes
321
544
550
558
609
874
904
Diabetes mellitus (E10-E14)
2
No.
1 244
Tuberculosis (A15-A19)*
1
All Limpopo, both sexes, 45–64
12 956
Non-natural causes
All causes
3 838
2 233
Other natural causes
218
315
444
665
828
1 019
1 104
Other viral diseases (B25-B34)
2
No.
1 749
Tuberculosis (A15-A19)*
1
Limpopo, both sexes, 15−44
100,0
2,4
43,7
1,8
2,4
2,5
2,9
4,1
7,0
7,4
7,9
8,8
9,0
%
100,0
6,2
40,5
2,6
3,5
3,9
4,5
4,5
4,6
5,0
7,2
7,4
10,2
%
100,0
17,2
29,6
1,7
1,9
2,2
2,4
3,4
5,1
6,4
7,9
8,5
13,5
%
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
All causes
Non-natural causes
Other natural causes
Malignant neoplasms of male genital organs (C60-C63)
Renal failure (N17-N19)
Intestinal infectious diseases (A00-A09)
Chronic lower respiratory diseases (J40-J47)
Tuberculosis (A15-A19)*
Other forms of heart disease (I30-I52)
Hypertensive diseases (I10-I15)
Cerebrovascular diseases (I60-I69)
Influenza and pneumonia (J09-J18)
Diabetes mellitus (E10-E14)
All Limpopo, males, 65+
All causes
Non-natural causes
Other natural causes
Chronic lower respiratory diseases (J40-J47)
Other forms of heart disease (I30-I52)
Human immunodeficiency virus [HIV] disease (B20-B24)
Hypertensive diseases (I10-I15)
Intestinal infectious diseases (A00-A09)
Cerebrovascular diseases (I60-I69)
Other viral diseases (B25-B34)
Diabetes mellitus (E10-E14)
Influenza and pneumonia (J09-J18)
Tuberculosis (A15-A19)*
All Limpopo, males, 45–64
All causes
Non-natural causes
Other natural causes
Protozoal diseases (B50-B64)
Diabetes mellitus (E10-E14)
Other forms of heart disease (I30-I52)
Inflammatory diseases of the central nervous system (G00-G09)
Certain disorders involving the immune mechanism (D80-D89)
Intestinal infectious diseases (A00-A09)
Human immunodeficiency virus [HIV] disease (B20-B24)
Influenza and pneumonia (J09-J18)
Other viral diseases (B25-B34)
Tuberculosis (A15-A19)*
Limpopo, males, 15−44
%
100,0
2,8
42,7
2,5
3,3
3,7
4,0
4,0
6,7
7,3
7,4
7,7
7,8
%
100,0
7,7
39,4
2,7
3,6
4,0
4,1
4,1
4,3
4,5
6,1
7,6
12,0
%
100,0
27,8
25,9
1,5
1,6
2,1
2,2
2,9
4,5
5,2
6,8
6,9
12,7
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
Limpopo, females, 15−44
All causes
Non-natural causes
Other natural causes
Other bacterial diseases (A30-A49)
Inflammatory diseases of the central nervous system (G00-G09)
Malignant neoplasms of female genital organs (C51-C58)
Renal failure (N17-N19)
Intestinal infectious diseases (A00-A09)
Other forms of heart disease (I30-I52)
Influenza and pneumonia (J09-J18)
Hypertensive diseases (I10-I15)
Cerebrovascular diseases (I60-I69)
Diabetes mellitus (E10-E14)
All Limpopo, females, 65+
All causes
Non-natural causes
Other natural causes
Other forms of heart disease (I30-I52)
Human immunodeficiency virus [HIV] disease (B20-B24)
Malignant neoplasms of female genital organs (C51-C58)
Intestinal infectious diseases (A00-A09)
Cerebrovascular diseases (I60-I69)
Hypertensive diseases (I10-I15)
Other viral diseases (B25-B34)
Influenza and pneumonia (J09-J18)
Tuberculosis (A15-A19)*
Diabetes mellitus (E10-E14)
All Limpopo, females, 45–64
All causes
Non-natural causes
Other natural causes
Malignant neoplasms of female genital organs (C51-C58)
Protozoal diseases (B50-B64)
Other forms of heart disease (I30-I52)
Inflammatory diseases of the central nervous system (G00-G09)
Certain disorders involving the immune mechanism (D80-D89)
Intestinal infectious diseases (A00-A09)
Human immunodeficiency virus [HIV] disease (B20-B24)
Influenza and pneumonia (J09-J18)
Other viral diseases (B25-B34)
Tuberculosis (A15-A19)*
10 021
214
4 268
175
192
200
261
448
718
728
837
983
997
No.
5 036
200
2 008
175
188
240
248
250
258
287
330
381
471
No.
6 547
449
2 173
129
156
159
176
259
372
494
586
660
934
No.
%
100,0
2,1
42,6
1,7
1,9
2,0
2,6
4,5
7,2
7,3
8,4
9,8
9,9
%
100,0
4,0
39,9
3,5
3,7
4,8
4,9
5,0
5,1
5,7
6,6
7,6
9,4
%
100,0
6,9
33,2
2,0
2,4
2,4
2,7
4,0
5,7
7,5
9,0
10,1
14,3
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
7 166
202
3 062
177
238
265
286
290
480
526
532
551
557
No.
7 151
553
2 816
191
256
284
290
295
308
320
433
544
861
No.
6 381
1 776
1 650
96
100
131
138
185
289
331
431
442
812
No.
Appendix M9: The ten leading underlying natural causes of death by age and sex: Limpopo, 2014 (concluded)
Statistics South Africa
111 P0309.3
115
112
7 979
55
6 916
Unspecified
Buffalo City
126
Unspecified
645
600
Pixley ka Seme
Siyanda
Total
3 247
33
194
131
Unspecified
115
901
1 354
16
265
246
518
937
5 095
59
592
1 333
196
490
339
1 234
756
96
436
Frances Baard John Taolo Gaetsewe Namakwa
14 111
3 562
Total
2 039
O.R.Tambo
858
Joe Gqabi
Nelson Mandela Bay
2 055
Chris Hani
696
2 333
1 763
Amathole
Cacadu
679
Alfred Nzo
Total
80
474
West Coast
941 357
778
187
4 938
Overberg
4 156
1 115
C00-D48
A00-B99*
1 151
Neoplasms
Eden
City of Cape Town
Central Karoo
Cape Winelands
District municipality of death occurrence
*Including deaths due to MDR-TB and XDR-TB.
Northern Cape
Eastern Cape
Western Cape
Province of death
Certain infectious and parasitic diseases
313
2
91
91
9
33
87
1 176
9
178
235
151
155
82
167
143
56
350
3
32
29
53
176
22
35
D50-D89
Diseases of the blood and immune mechanism
887
7
191
185
85
136
283
3 807
48
566
937
168
562
233
546
657
90
3 518
44
166
142
359
2 276
45
486
E00-E90
Endocrine, nutritional and metabolic diseases
280
3
71
74
13
41
78
1 490
26
266
242
69
229
75
191
324
68
1 025
14
50
52
122
646
17
124
G00-G99
Diseases of the nervous system
1 601
21
387
363
155
325
350
6 288
138
842
911
309
991
404
870
1 576
247
3 583
41
256
179
463
1 966
84
594
J00-J99
Diseases of the respiratory system
343
5
66
72
16
40
144
1 528
17
340
301
71
204
88
215
239
53
993
9
49
41
138
600
14
142
K00-K93
Diseases of the digestive system
357
5
66
65
24
115
82
574
3
49
208
37
99
31
61
43
43
726
4
27
27
92
477
14
85
P00-P96
Perinatal conditions
1 560
40
241
295
89
356
539
14 835
378
4 589
944
1 511
1 511
500
926
1 710
2 766
4 265
67
240
234
303
2 763
51
607
Other
Other natural causes
1 562
49
334
403
152
230
394
7 243
151
1 579
986
363
891
430
1 061
1 249
533
6 031
137
316
235
466
4 031
99
747
V01-Y98
External causes of morbidity and mortality
14 056
211
2 862
3 041
1 153
2 653
4 136
66 553
1 152
13 998
10 157
4 260
8 733
3 559
8 638
11 125
4 931
44 020
545
2 575
1 877
4 854
27 127
709
6 333
Total
Mortality and causes of death in South Africa, 2014: Findings from death notification
2 552
30
550
602
285
361
724
10 406
197
1 435
2 021
527
1 546
681
1 604
2 095
300
8 634
91
529
394
1 139
5 098
136
1 247
I00-I99
Diseases of the circulatory system
Appendix N: Number of deaths by main groups of causes of death and district municipality of death occurrence (Western Cape, Eastern Cape and Northern Cape), 2014
Statistics South Africa
112 P0309.3
2 374
Thabo Mofutsanyane
88
1 845
Uthungulu
Zululand
380
422
1 800
Total
8 060
2 326
40
290
1 621
177
656 918
2 337
2 125
Bojanala
Dr Kenneth Kaunda Dr Ruth Segomotsi Mompati Ngaka Modiri Molema
Unspecified
5 733
112
311
632
455
253
214
1 092
558
217
340
1 379
170
2 386
29
116
486
1 009
21 535
Total
585
2 199
Uthukela
Unspecified
1 338
2 741
Umzinyathi
2 525
2 147
Ugu
1 192
1 234
Sisonke
Umkhanyakude
1 263
iLembe
UMgungundlovu
566
3 900
eThekwini
7 339
Amajuba
Total
Unspecified
366
1 764
Mangaung
Xhariep
1 586
Lejweleputswa
366
C00-D48
A00-B99*
1 161
Neoplasms
Fezile Dabi
District municipality of death occurrence
*Including deaths due to MDR-TB and XDR-TB.
North West
KwaZuluNatal
Free State
Province of death
Certain infectious and parasitic diseases
992
10
304
166
179
333
1 429
24
159
182
92
75
44
141
127
91
88
369
37
1 010
12
53
314
243
246
142
D50-D89
Diseases of the blood and immune mechanism
2 069
42
530
326
414
757
5 932
184
413
562
529
283
216
1 028
608
305
335
1 281
188
2 290
28
104
693
518
498
449
E00-E90
Endocrine, nutritional and metabolic diseases
556
13
154
108
138
143
1 775
74
141
185
200
89
63
213
172
78
106
386
68
606
18
41
150
166
135
96
G00-G99
Diseases of the nervous system
3 771
118
1 109
595
700
1 249
6 343
269
466
501
714
452
179
737
755
361
319
1 222
368
3 829
59
230
958
772
1 072
738
J00-J99
Diseases of the respiratory system
851
15
180
115
264
277
2 172
55
161
238
264
102
78
345
173
101
114
462
79
956
18
47
261
236
210
184
K00-K93
Diseases of the digestive system
902
21
263
204
216
198
1 861
17
177
338
98
147
69
175
147
67
120
392
114
759
7
24
234
189
203
102
P00-P96
Perinatal conditions
6 033
275
1 935
670
1 101
2 052
10 052
445
785
892
578
542
555
1 450
866
824
442
2 435
238
4 707
105
358
1 025
1 749
991
479
Other
Other natural causes
2 872
164
609
337
669
1 093
8 347
471
577
888
679
425
357
1 118
864
398
431
1 726
413
3 165
68
294
720
874
709
500
V01-Y98
External causes of morbidity and mortality
34 933
1 114
9 053
5 483
8 003
11 280
79 138
2 884
5 881
7 771
7 904
4 515
3 471
10 784
7 782
4 349
4 366
16 604
2 827
33 045
535
2 051
8 954
8 879
7 241
5 385
Total
Mortality and causes of death in South Africa, 2014: Findings from death notification
6 501
239
1 747
1 051
1 279
2 185
13 959
648
846
1 154
1 554
809
504
1 960
1 365
673
808
3 052
586
5 998
103
418
1 739
1 359
1 211
1 168
I00-I99
Diseases of the circulatory system
Appendix N1: Number of deaths by main groups of causes of death and district municipality of death occurrence (Free State, KwaZulu-Natal and North West), 2014
Statistics South Africa
113 P0309.3
274
Unspecified
10 904
474
Unspecified
Total
1 346
2 070
Mopani
Waterberg
2 618
Greater Sekhukhune
1 637
2 759
Capricorn
Vhembe
9 546
227
Unspecified
Total
2 220
2 777
Gert Sibande
Nkangala
4 322
Ehlanzeni
16 896
1 361
West Rand
Total
1 709
4 408
Ekurhuleni
Sedibeng
4 304
City of Tshwane
2 616
67
340
462
418
383
946
1 903
65
481
461
896
9 664
176
734
676
1 673
2 939
3 466
C00-D48
A00-B99*
4 840
Neoplasms
City of Johannesburg
District municipality of death occurrence
*Including deaths due to MDR-TB and XDR-TB.
Limpopo
Mpumalanga
Gauteng
Province of death
Certain infectious and parasitic diseases
999
21
157
243
229
160
189
1 130
19
265
435
411
2 169
28
226
221
639
456
599
D50-D89
Diseases of the blood and immune mechanism
3 427
144
367
693
661
617
945
2 221
92
660
631
838
5 419
76
516
486
1 327
1 660
1 354
E00-E90
Endocrine, nutritional and metabolic diseases
1 393
129
98
112
543
247
264
717
27
188
175
327
2 400
58
198
246
563
610
725
G00-G99
Diseases of the nervous system
5 830
420
644
550
1 131
1 626
1 459
3 871
176
1 539
1 022
1 134
10 101
233
958
1 321
2 658
2 379
2 552
J00-J99
Diseases of the respiratory system
1 346
54
143
254
222
278
395
945
35
255
244
411
2 768
64
246
273
672
728
785
K00-K93
Diseases of the digestive system
921
18
110
144
281
83
285
642
8
170
253
211
2 606
42
172
233
779
479
901
P00-P96
Perinatal conditions
9 456
661
487
3 540
1 835
887
2 046
4 437
266
1 303
1 268
1 600
17 276
570
1 588
990
4 760
2 634
6 734
Other
Other natural causes
3 952
306
491
769
641
715
1 030
3 708
221
1 225
1 022
1 240
10 425
672
1 028
1 037
2 428
2 061
3 199
V01-Y98
External causes of morbidity and mortality
47 849
2 745
5 132
9 261
9 190
9 244
12 277
35 002
1 437
10 319
9 759
13 487
96 736
2 599
8 576
9 137
23 558
23 221
29 645
Total
Mortality and causes of death in South Africa, 2014: Findings from death notification
7 005
451
949
857
1 159
1 630
1 959
5 882
301
2 013
1 471
2 097
17 012
406
1 549
1 945
3 651
4 971
4 490
I00-I99
Diseases of the circulatory system
Appendix N2: Number of deaths by main groups of causes of death and district municipality of death occurrence (Gauteng, Mpumalanga and Limpopo), 2014
Statistics South Africa
114 P0309.3
13,8 21,0 20,4 19,6 23,5 20,1 20,1 25,4 10,9 21,2
22,7 34,0 11,4 21,2 21,0 15,6 23,1
Alfred Nzo Amathole Buffalo City Cacadu Chris Hani Joe Gqabi Nelson Mandela Bay O.R.Tambo Unspecified Total
Frances Baard John Taolo Gaetsewe Namakwa Pixley ka Seme Siyanda Unspecified Total
Western Cape
Eastern Cape
Northern Cape
*Including deaths due to MDR-TB and XDR-TB.
18,2 16,2 15,3 16,0 10,0 18,4 10,1 15,7
12,5 4,3 16,8 8,1 9,3 7,6 9,6
1,9 6,8 14,3 9,5 5,6 4,6 13,1 4,2 5,1 7,7
17,6 15,8 18,2 19,4 19,0 16,9 14,7 18,1
C00-D48
A00-B99*
Cape Winelands Central Karoo City of Cape Town Eden Overberg West Coast Unspecified Total
Neoplasms
District municipality of death occurrence
Province of death
Certain infectious and parasitic diseases
2,1 1,2 0,8 3,0 3,2 0,9 2,2
1,1 1,3 1,9 2,3 1,8 3,5 2,3 1,3 0,8 1,8
0,6 3,1 0,6 1,1 1,5 1,2 0,6 0,8
D50-D89
Diseases of the blood and immune mechanism
6,8 5,1 7,4 6,1 6,7 3,3 6,3
1,8 5,9 6,3 6,5 6,4 3,9 9,2 4,0 4,2 5,7
7,7 6,3 8,4 7,4 7,6 6,4 8,1 8,0
E00-E90
Endocrine, nutritional and metabolic diseases
1,9 1,5 1,1 2,4 2,5 1,4 2,0
1,4 2,9 2,2 2,1 2,6 1,6 2,4 1,9 2,3 2,2
2,0 2,4 2,4 2,5 2,8 1,9 2,6 2,3
G00-G99
Diseases of the nervous system
8,5 12,3 13,4 11,9 13,5 10,0 11,4
5,0 14,2 10,1 11,4 11,3 7,3 9,0 6,0 12,0 9,4
9,4 11,8 7,2 9,5 9,5 9,9 7,5 8,1
J00-J99
Diseases of the respiratory system
3,5 1,5 1,4 2,4 2,3 2,4 2,4
1,1 2,1 2,5 2,5 2,3 1,7 3,0 2,4 1,5 2,3
2,2 2,0 2,2 2,8 2,2 1,9 1,7 2,3
K00-K93
Diseases of the digestive system
2,0 4,3 2,1 2,1 2,3 2,4 2,5
0,9 0,4 0,7 0,9 1,1 0,9 2,0 0,4 0,3 0,9
1,3 2,0 1,8 1,9 1,4 1,0 0,7 1,6
P00-P96
Perinatal conditions
13,0 13,4 7,7 9,7 8,4 19,0 11,1
56,1 15,4 10,7 14,0 17,3 35,5 9,3 32,8 32,8 22,3
9,6 7,2 10,2 6,2 12,5 9,3 12,3 9,7
Other
Other natural causes
9,5 8,7 13,2 13,3 11,7 23,2 11,1
10,8 11,2 12,3 12,1 10,2 8,5 9,7 11,3 13,1 10,9
11,8 14,0 14,9 9,6 12,5 12,3 25,1 13,7
V01-Y98
External causes of morbidity and mortality
100,0 100,0 100,0 100,0 100,0 100,0 100,0
100,0 100,0 100,0 100,0 100,0 100,0 100,0 100,0 100,0 100,0
100,0 100,0 100,0 100,0 100,0 100,0 100,0 100,0
Total
Mortality and causes of death in South Africa, 2014: Findings from death notification
17,5 13,6 24,7 19,8 19,2 14,2 18,2
6,1 18,8 18,6 19,1 17,7 12,4 19,9 10,3 17,1 15,6
19,7 19,2 18,8 23,5 21,0 20,5 16,7 19,6
I00-I99
Diseases of the circulatory system
Appendix O: Percentage distribution of deaths by main groups of causes of death and district municipality of death occurrence (Western Cape, Eastern Cape and Northern Cape), 2014
Statistics South Africa
115
5,4 7,2
17,8
16,4
22,2
20,0
Xhariep
Unspecified
Total
Amajuba
28,3
31,4
20,3
27,2
20,7
26,6
29,6
Uthungulu
Zululand
Unspecified
Total
Bojanala
23,1
34,7
Uthukela
Total
4,7
29,6
Umzinyathi
19,9
34,3
Umkhanyakude
15,9
5,3
23,4
UMgungundlovu
Unspecified
5,8 11,5
27,6
Ugu
Dr Kenneth Kaunda Dr Ruth Segomotsi Mompati Ngaka Modiri Molema
7,2
28,4
Sisonke
8,3
iLembe
6,7
3,6
3,9
5,3
8,1
5,8
5,6
6,2
10,1
7,2
5,0
7,8
23,5
28,9
eThekwini
6,0
5,7
5,4
Thabo Mofutsanyane
11,4
19,9
26,5
Mangaung
5,2
6,8
21,6
21,9
C00-D48
A00-B99*
Fezile Dabi
Neoplasms
Lejweleputswa
District municipality of death occurrence
*Including deaths due to MDR-TB and XDR-TB.
North West
KwaZuluNatal
Free State
Province of death
Certain infectious and parasitic diseases
2,8
0,9
3,4
3,0
2,2
3,0
1,8
0,8
2,7
2,3
1,2
1,7
1,3
1,3
1,6
2,1
2,0
2,2
1,3
3,1
2,2
2,6
3,5
2,7
3,4
2,6
D50-D89
Diseases of the blood and immune mechanism
5,9
3,8
5,9
5,9
5,2
6,7
7,5
6,4
7,0
7,2
6,7
6,3
6,2
9,5
7,8
7,0
7,7
7,7
6,7
6,9
5,2
5,1
7,7
5,8
6,9
8,3
E00-E90
Endocrine, nutritional and metabolic diseases
1,6
1,2
1,7
2,0
1,7
1,3
2,2
2,6
2,4
2,4
2,5
2,0
1,8
2,0
2,2
1,8
2,4
2,3
2,4
1,8
3,4
2,0
1,7
1,9
1,9
1,8
G00-G99
Diseases of the nervous system
10,8
10,6
12,3
10,9
8,7
11,1
8,0
9,3
7,9
6,4
9,0
10,0
5,2
6,8
9,7
8,3
7,3
7,4
13,0
11,6
11,0
11,2
10,7
8,7
14,8
13,7
J00-J99
Diseases of the respiratory system
2,4
1,3
2,0
2,1
3,3
2,5
2,7
1,9
2,7
3,1
3,3
2,3
2,2
3,2
2,2
2,3
2,6
2,8
2,8
2,9
3,4
2,3
2,9
2,7
2,9
3,4
K00-K93
Diseases of the digestive system
2,6
1,9
2,9
3,7
2,7
1,8
2,4
0,6
3,0
4,3
1,2
3,3
2,0
1,6
1,9
1,5
2,7
2,4
4,0
2,3
1,3
1,2
2,6
2,1
2,8
1,9
P00-P96
Perinatal conditions
17,3
24,7
21,4
12,2
13,8
18,2
12,7
15,4
13,3
11,5
7,3
12,0
16,0
13,4
11,1
18,9
10,1
14,7
8,4
14,2
19,6
17,5
11,4
19,7
13,7
8,9
Other
Other natural causes
8,2
14,7
6,7
6,1
8,4
9,7
10,5
16,3
9,8
11,4
8,6
9,4
10,3
10,4
11,1
9,2
9,9
10,4
14,6
9,6
12,7
14,3
8,0
9,8
9,8
9,3
V01-Y98
External causes of morbidity and mortality
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
Mortality and causes of death in South Africa, 2014: Findings from death notification
18,6
21,5
19,3
19,2
16,0
19,4
17,6
22,5
14,4
14,9
19,7
17,9
14,5
18,2
17,5
15,5
18,5
18,4
20,7
18,2
19,3
20,4
19,4
15,3
16,7
21,7
I00-I99
Diseases of the circulatory system
Total
P0309.3
Appendix O1: Percentage distribution of deaths by main groups of causes of death and district municipality of death occurrence (Free State, KwaZulu-Natal and North West), 2014
Statistics South Africa
116
26,2
17,3
22,8
Unspecified
Total
22,5
Mopani
Waterberg
28,3
Greater Sekhukhune
17,7
22,5
Capricorn
Vhembe
27,3
28,5
Gert Sibande
Total
32,0
Ehlanzeni
15,8
17,5
Total
Unspecified
10,5
Unspecified
21,5
15,9
West Rand
Nkangala
18,7
18,7
Ekurhuleni
Sedibeng
18,5
City of Tshwane
5,5
2,4
6,6
5,0
4,5
4,1
7,7
5,4
4,5
4,7
4,7
6,6
10,0
6,8
8,6
7,4
7,1
12,7
11,7
C00-D48
A00-B99*
16,3
Neoplasms
City of Johannesburg
District municipality of death occurrence
*Including deaths due to MDR-TB and XDR-TB.
Limpopo
Mpumalanga
Gauteng
Province of death
Certain infectious and parasitic diseases
2,1
0,8
3,1
2,6
2,5
1,7
1,5
3,2
1,3
2,6
4,5
3,0
2,2
1,1
2,6
2,4
2,7
2,0
2,0
D50-D89
Diseases of the blood and immune mechanism
7,2
5,2
7,2
7,5
7,2
6,7
7,7
6,3
6,4
6,4
6,5
6,2
5,6
2,9
6,0
5,3
5,6
7,1
4,6
E00-E90
Endocrine, nutritional and metabolic diseases
2,9
4,7
1,9
1,2
5,9
2,7
2,2
2,0
1,9
1,8
1,8
2,4
2,5
2,2
2,3
2,7
2,4
2,6
2,4
G00-G99
Diseases of the nervous system
12,2
15,3
12,5
5,9
12,3
17,6
11,9
11,1
12,2
14,9
10,5
8,4
10,4
9,0
11,2
14,5
11,3
10,2
8,6
J00-J99
Diseases of the respiratory system
2,8
2,0
2,8
2,7
2,4
3,0
3,2
2,7
2,4
2,5
2,5
3,0
2,9
2,5
2,9
3,0
2,9
3,1
2,6
K00-K93
Diseases of the digestive system
1,9
0,7
2,1
1,6
3,1
0,9
2,3
1,8
0,6
1,6
2,6
1,6
2,7
1,6
2,0
2,6
3,3
2,1
3,0
P00-P96
Perinatal conditions
19,8
24,1
9,5
38,2
20,0
9,6
16,7
12,7
18,5
12,6
13,0
11,9
17,9
21,9
18,5
10,8
20,2
11,3
22,7
Other
Other natural causes
8,3
11,1
9,6
8,3
7,0
7,7
8,4
10,6
15,4
11,9
10,5
9,2
10,8
25,9
12,0
11,3
10,3
8,9
10,8
V01-Y98
External causes of morbidity and mortality
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
100,0
Mortality and causes of death in South Africa, 2014: Findings from death notification
14,6
16,4
18,5
9,3
12,6
17,6
16,0
16,8
20,9
19,5
15,1
15,5
17,6
15,6
18,1
21,3
15,5
21,4
15,1
I00-I99
Diseases of the circulatory system
Total
P0309.3
Appendix O2: Percentage distribution of deaths by main groups of causes of death and district municipality of death occurrence (Gauteng, Mpumalanga and Limpopo), 2014
Statistics South Africa
117
310
Cerebrovascular diseases (I60-I69)
Chronic lower respiratory diseases (J40-J47)
Ischaemic heart diseases (I20-I25)
Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)
Malignant neoplasms of digestive organs (C15-C26)
Hypertensive diseases (I10-I15)
Other forms of heart disease (I30-I52)
4
5
6
7
8
9
10
412
747
No
238 206 196
Diabetes mellitus (E10-E14)
Chronic lower respiratory diseases (J40-J47)
Human immunodeficiency virus [HIV] disease (B20-B24)
Malignant neoplasms of digestive organs (C15-C26)
Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)
Other forms of heart disease (I30-I52)
Hypertensive diseases (I10-I15)
4
5
6
7
8
9
10
466
*Excluding cases with unspecified district municipality.
100,0
9,6
36,5
3,6
4,0
4,2
4,9
5,2
5,2
6,1
6,6
6,8
7,2
%
100,0
11,8
33,8
2,7
3,2
4,3
4,9
5,7
6,3
6,4
6,5
6,8
7,6
%
10
9
8
7
5
5
4
3
2
1
10
7
7
7
6
5
3
3
2
1
20
Overberg
99
All causes
Non-natural causes
Other natural causes
Influenza and pneumonia (J09-J18)
Other forms of heart disease (I30-I52)
100,0
12,5
37,3
2,7
2,9
4,0
5,0
5,3
5,3
5,5
6,1
6,2
7,1
%
100,0
14,0
32,4
2,8
4,1
4,1
4,1
4,2
4,5
4,9
4,9
8,6
11,3
% 1
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
West Coast
All causes
Non-natural causes
Other natural causes
Other forms of heart disease (I30-I52)
Malignant neoplasms of digestive organs (C15-C26)
Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)
Hypertensive diseases (I10-I15)
Human immunodeficiency virus [HIV] disease (B20-B24)
Diabetes mellitus (E10-E14)
Ischaemic heart diseases (I20-I25)
Cerebrovascular diseases (I60-I69)
Chronic lower respiratory diseases (J40-J47)
Tuberculosis (A15-A19)**
All causes
Non-natural causes
Other natural causes
Other forms of heart disease (I30-I52)
Chronic lower respiratory diseases (J40-J47)
Hypertensive diseases (I10-I15)
Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)
Malignant neoplasms of digestive organs (C15-C26)
Tuberculosis (A15-A19)**
Ischaemic heart diseases (I20-I25)
Cerebrovascular diseases (I60-I69)
Human immunodeficiency virus [HIV] disease (B20-B24)
Diabetes mellitus (E10-E14)
City of Cape Town
2 575
316
868
77
108
117
126
136
140
145
146
179
217
No
27 127
4 031
10 056
822
1 009
1 038
1 148
1 218
1 304
1 418
1 475
1 644
1 964
No.
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
1 877
235
700
50
55
76
94
Hypertensive diseases (I10-I15)
99
Malignant neoplasms of digestive organs (C15-C26)
99
104
115
116
134
No
709
Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)
Tuberculosis (A15-A19)**
Cerebrovascular diseases (I60-I69)
Diabetes mellitus (E10-E14)
Chronic lower respiratory diseases (J40-J47)
Ischaemic heart diseases (I20-I25)
All causes
Non-natural causes
230
Certain disorders involving the immune mechanism (D80D89) Other natural causes
29
29
29
30
32
35
35
61
80
No.
Cerebrovascular diseases (I60-I69)
Other forms of heart disease (I30-I52)
Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)
Malignant neoplasms of digestive organs (C15-C26)
Ischaemic heart diseases (I20-I25)
Hypertensive diseases (I10-I15)
Diabetes mellitus (E10-E14)
Chronic lower respiratory diseases (J40-J47)
Tuberculosis (A15-A19)**
Central Karoo
**Including deaths due to MDR-TB and XDR-TB.
4 854
Non-natural causes
All causes
1 772
Other natural causes
177
251
254
298
319
329
Ischaemic heart diseases (I20-I25)
Tuberculosis (A15-A19)**
3
348
2
Cerebrovascular diseases (I60-I69)
1
6 333
Non-natural causes
All causes
2 138
170
204
274
400
405
Other natural causes
Eden
359
Diabetes mellitus (E10-E14)
3
432
482
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)**
2
No.
1
Cape Winelands
Appendix P: The ten leading underlying natural causes of death by district municipality of death occurrence, Western Cape, 2014*
Statistics South Africa
100,0
12,3
33,7
3,0
4,2
4,5
4,9
5,3
5,4
5,6
5,7
7,0
8,4
%
100,0
14,9
37,1
3,0
3,7
3,8
4,2
4,5
4,8
5,2
5,4
6,1
7,2
%
118
Diabetes mellitus (E10-E14)
Chronic lower respiratory diseases (J40-J47)
Other acute lower respiratory infections (J20-J22)
8
9
10
44
54
61
94
Ischaemic heart diseases (I20-I25)
Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)
9
10
83
105
147
*Excluding cases with unspecified district municipality.
All causes
%
100,0
12,1
38,9
2,3
3,0
4,1
4,2
5,1
5,2
5,2
5,2
5,4
9,3
%
100,0
10,8
66,8
0,9
1,1
1,2
1,9
2,1
2,3
2,3
2,5
2,7
5,4
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
Amathole
Chris Hani
All causes
Non-natural causes
Other natural causes
Intestinal infectious diseases (A00-A09)
Other viral diseases (B25-B34)
Hypertensive diseases (I10-I15)
Influenza and pneumonia (J09-J18)
Diabetes mellitus (E10-E14)
Chronic lower respiratory diseases (J40-J47)
Human immunodeficiency virus [HIV] disease (B20-B24)
Other forms of heart disease (I30-I52)
Cerebrovascular diseases (I60-I69)
Tuberculosis (A15-A19)**
All causes
Non-natural causes
Other natural causes
Malignant neoplasms of digestive organs (C15-C26)
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
Influenza and pneumonia (J09-J18)
Hypertensive diseases (I10-I15)
Diabetes mellitus (E10-E14)
Other forms of heart disease (I30-I52)
Cerebrovascular diseases (I60-I69)
Chronic lower respiratory diseases (J40-J47)
Tuberculosis (A15-A19)**
**Including deaths due to MDR-TB and XDR-TB.
3 559
430
Other forms of heart disease (I30-I52)
8
149
1 385
Influenza and pneumonia (J09-J18)
7
183
Non-natural causes
Diabetes mellitus (E10-E14)
6
184
185
186
192
330
No.
4 931
Other natural causes
Chronic lower respiratory diseases (J40-J47)
Human immunodeficiency virus [HIV] disease (B20-B24)
Cerebrovascular diseases (I60-I69)
3
5
Hypertensive diseases (I10-I15)
2
4
Tuberculosis (A15-A19)**
Cacadu
1
All causes
533
Influenza and pneumonia (J09-J18)
7
106
Non-natural causes
Cerebrovascular diseases (I60-I69)
6
111
113
122
135
3 293
Other forms of heart disease (I30-I52)
5
No. 265
Other natural causes
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
4
Intestinal infectious diseases (A00-A09)
2
3
Tuberculosis (A15-A19)**
1
Alfred Nzo
%
100,0
10,2
38,4
3,3
3,5
4,0
4,3
4,7
4,8
5,7
5,7
5,8
9,5
%
100,0
11,2
37,9
2,9
2,9
3,8
3,9
4,6
4,8
5,7
6,2
6,3
9,8
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
Buffalo City Metro
Joe Gqabi
No.
All causes
Non-natural causes
Other natural causes
Other viral diseases (B25-B34)
Intestinal infectious diseases (A00-A09)
Hypertensive diseases (I10-I15)
Diabetes mellitus (E10-E14)
Influenza and pneumonia (J09-J18)
4 260
363
2 262
89
95
104
115
125
150 141
Human immunodeficiency virus [HIV] disease (B20-B24)
160
173
483
No.
8 638
1 061
3 397
226
228
302
367
405
447
451
479
497
778
Certain disorders involving the immune mechanism (D80D89)
Other forms of heart disease (I30-I52)
Cerebrovascular diseases (I60-I69)
Tuberculosis (A15-A19)**
All causes
Non-natural causes
Other natural causes
Ischaemic heart diseases (I20-I25)
Influenza and pneumonia (J09-J18)
Hypertensive diseases (I10-I15)
Chronic lower respiratory diseases (J40-J47)
Malignant neoplasms of digestive organs (C15-C26)
Diabetes mellitus (E10-E14)
Other forms of heart disease (I30-I52)
Cerebrovascular diseases (I60-I69)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)**
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
8 733
891
3 356
291
309
352
377
413
416
498
500
503
827
No.
11 125
1 249
4 211
318
327
418
433
514
532
636
690
706
1 091
No.
Appendix P1: The ten leading underlying natural causes of death by district municipality of death occurrence, Eastern Cape, 2014*
Statistics South Africa
%
100,0
8,5
53,1
2,1
2,2
2,4
2,7
2,9
3,3
3,5
3,8
4,1
11,3
%
100,0
12,3
39,3
2,6
2,6
3,5
4,2
4,7
5,2
5,2
5,5
5,8
9,0
119
Other forms of heart disease (I30-I52)
7
986
*Excluding cases with unspecified district municipality.
100,0
9,7
38,4
2,7
3,1
3,2
4,0
4,5
5,6
5,8
7,6
7,7
7,7
%
10
9
8
7
6
5
4
3
2
1
All causes
Non-natural causes
Other natural causes
Hypertensive diseases (I10-I15)
Chronic lower respiratory diseases (J40-J47)
Influenza and pneumonia (J09-J18)
Other viral diseases (B25-B34)
Diabetes mellitus (E10-E14)
Intestinal infectious diseases (A00-A09)
Cerebrovascular diseases (I60-I69)
Other forms of heart disease (I30-I52)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)**
O. R. Tambo
**Including deaths due to MDR-TB and XDR-TB.
10 157
Non-natural causes
All causes
3 899
276
316
326
407
454
567
594
769
780
783
No.
Other natural causes
Influenza and pneumonia (J09-J18)
Chronic lower respiratory diseases (J40-J47)
6
10
Cerebrovascular diseases (I60-I69)
5
Ischaemic heart diseases (I20-I25)
Hypertensive diseases (I10-I15)
4
Malignant neoplasms of digestive organs (C15-C26)
Tuberculosis (A15-A19)**
3
9
Human immunodeficiency virus [HIV] disease (B20-B24)
2
8
Diabetes mellitus (E10-E14)
1
Nelson Mandela Bay Metro
100,0
11,3
48,4
1,6
1,8
2,4
2,8
2,8
2,9
3,8
3,9
8,5
9,9
%
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
13 998
1 579
6 771
219
245
338
394
395
399
531
550
1 187
1 390
No.
Appendix P1: The ten leading underlying natural causes of death by district municipality of death occurrence, Eastern Cape, 2014* (concluded)
Statistics South Africa
120
Diabetes mellitus (E10-E14)
Influenza and pneumonia (J09-J18)
Malignant neoplasms of digestive organs (C15-C26)
Other forms of heart disease (I30-I52)
Other viral diseases (B25-B34)
Chronic lower respiratory diseases (J40-J47)
5
6
7
8
9
10
126
127
128
134
135
190
204
Hypertensive diseases (I10-I15)
7
403
*Excluding cases with unspecified district municipality.
3 041
Non-natural causes
All causes
1 139
75
102
107
116
129
133
155
192
208
282
No.
4 136
Other natural causes
Certain disorders involving the immune mechanism (D80D89)
Other forms of heart disease (I30-I52)
6
10
Influenza and pneumonia (J09-J18)
5
Ischaemic heart diseases (I20-I25)
Chronic lower respiratory diseases (J40-J47)
4
Diabetes mellitus (E10-E14)
Cerebrovascular diseases (I60-I69)
3
9
Human immunodeficiency virus [HIV] disease (B20-B24)
2
8
Tuberculosis (A15-A19)**
Pixley ka Seme
1
All causes
394
Hypertensive diseases (I10-I15)
4
246
Non-natural causes
Cerebrovascular diseases (I60-I69)
3
280
1 811
Tuberculosis (A15-A19)**
2
361
No.
Other natural causes
Human immunodeficiency virus [HIV] disease (B20-B24)
1
Frances Baard
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
Siyanda
All causes
Non-natural causes
Other natural causes
Other viral diseases (B25-B34)
Other forms of heart disease (I30-I52)
Ischaemic heart diseases (I20-I25)
Diabetes mellitus (E10-E14)
Human immunodeficiency virus [HIV] disease (B20-B24)
Influenza and pneumonia (J09-J18)
Cerebrovascular diseases (I60-I69)
Hypertensive diseases (I10-I15)
Chronic lower respiratory diseases (J40-J47)
Tuberculosis (A15-A19)**
All causes
Non-natural causes
Other natural causes
Other acute lower respiratory infections (J20-J22)
Other forms of heart disease (I30-I52)
Cerebrovascular diseases (I60-I69)
Diabetes mellitus (E10-E14)
Other viral diseases (B25-B34)
Tuberculosis (A15-A19)**
Hypertensive diseases (I10-I15)
Intestinal infectious diseases (A00-A09)
Influenza and pneumonia (J09-J18)
Human immunodeficiency virus [HIV] disease (B20-B24)
John Taolo Gaetsewe
**Including deaths due to MDR-TB and XDR-TB.
100,0
13,3
37,5
2,5
3,4
3,5
3,8
4,2
4,4
5,1
6,3
6,8
9,3
%
100,0
9,5
43,8
3,0
3,1
3,1
3,2
3,3
4,6
4,9
5,9
6,8
8,7
%
100,0
11,7
40,5
2,8
3,4
4,1
4,1
4,4
4,6
5,0
5,1
5,7
8,8
%
100,0
8,7
33,9
2,1
2,4
3,2
3,4
3,8
5,7
5,8
6,2
7,4
17,5
%
10
9
8
7
6
5
4
3
1
1
All causes
Non-natural causes
1 153
152
376
23
Malignant neoplasms of ill-defined, secondary and unspecified sites (C76-C80) Other natural causes
29
41
Malignant neoplasms of respiratory and intrathoracic organs (C30-C39) Other forms of heart disease (I30-I52)
47
52
70
71
76
108
108
No.
Malignant neoplasms of digestive organs (C15-C26)
Cerebrovascular diseases (I60-I69)
Hypertensive diseases (I10-I15)
Tuberculosis (A15-A19)**
Diabetes mellitus (E10-E14)
Chronic lower respiratory diseases (J40-J47)
Ischaemic heart diseases (I20-I25)
Namakwa
P0309.3
13,2
32,6
2,0
2,5
3,6
4,1
4,5
6,1
6,2
6,6
9,4
9,4
%
100,0
Mortality and causes of death in South Africa, 2014: Findings from death notification
2 862
334
1 158
79
96
117
118
127
133
142
145
162
251
No.
2 653
230
899
56
64
84
90
101
151
153
164
197
464
No.
Appendix P2: The ten leading underlying natural causes of death by district municipality of death occurrence, Northern Cape, 2014*
Statistics South Africa
121
Hypertensive diseases (I10-I15)
Diabetes mellitus (E10-E14)
Other viral diseases (B25-B34)
Intestinal infectious diseases (A00-A09)
Ischaemic heart diseases (I20-I25)
Chronic lower respiratory diseases (J40-J47)
5
6
7
8
9
10
135
139
195
227
302
303
320
403
248
Cerebrovascular diseases (I60-I69)
Diabetes mellitus (E10-E14)
Intestinal infectious diseases (A00-A09)
Hypertensive diseases (I10-I15)
Human immunodeficiency virus [HIV] disease (B20-B24)
Certain disorders involving the immune mechanism (D80D89)
5
6
7
8
9
10
*Excluding cases with unspecified district municipality.
8 954
720
Non-natural causes
All causes
3 339
Other natural causes
433
436
476
482
525
528
Influenza and pneumonia (J09-J18)
Other viral diseases (B25-B34)
4
528
836
No.
5 385
3
Other forms of heart disease (I30-I52)
2
Thabo Mofutsanyane
Tuberculosis (A15-A19)**
1
All causes
500
Cerebrovascular diseases (I60-I69)
4
336
Non-natural causes
Other forms of heart disease (I30-I52)
3
398
1 982
Influenza and pneumonia (J09-J18)
2
548
No.
Other natural causes
Tuberculosis (A15-A19)**
1
Fezile Dabi
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
Xhariep
All causes
Non-natural causes
Other natural causes
Diabetes mellitus (E10-E14)
Human immunodeficiency virus [HIV] disease (B20-B24)
Chronic lower respiratory diseases (J40-J47)
Intestinal infectious diseases (A00-A09)
Ischaemic heart diseases (I20-I25)
Hypertensive diseases (I10-I15)
Other forms of heart disease (I30-I52)
Cerebrovascular diseases (I60-I69)
Influenza and pneumonia (J09-J18)
Tuberculosis (A15-A19)**
All causes
Non-natural causes
100,0
14,3
38,9
3,1
3,3
3,4
3,8
3,9
4,2
5,1
6,1
6,4
7,6
%
100,0
9,8
39,8
2,6
2,7
3,2
3,8
4,4
4,7
4,8
5,0
9,0
10,3
%
10
9
8
7
6
5
4
3
2
1
All causes
Non-natural causes
Other natural causes
Ischaemic heart diseases (I20-I25)
Chronic lower respiratory diseases (J40-J47)
Malignant neoplasms of digestive organs (C15-C26)
Other forms of heart disease (I30-I52)
Hypertensive diseases (I10-I15)
Diabetes mellitus (E10-E14)
Influenza and pneumonia (J09-J18)
Cerebrovascular diseases (I60-I69)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)**
Mangaung Metro
8 879
874
4 430
190
195
251
285
294
335
415
469
569
572
No.
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
2 051
294
797
63
67
69
78
80
86
104
125
132
156
No.
7 241
709
2 883
187
Certain disorders involving the immune mechanism (D80D89) Other natural causes
197
232
272
318
337
345
364
649
748
No.
Chronic lower respiratory diseases (J40-J47)
Human immunodeficiency virus [HIV] disease (B20-B24)
Hypertensive diseases (I10-I15)
Diabetes mellitus (E10-E14)
Cerebrovascular diseases (I60-I69)
Intestinal infectious diseases (A00-A09)
Other forms of heart disease (I30-I52)
Tuberculosis (A15-A19)**
Influenza and pneumonia (J09-J18)
Lejweleputswa
**Including deaths due to MDR-TB and XDR-TB.
100,0
8,0
37,3
2,8
4,5
4,8
4,9
5,3
5,4
5,9
5,9
5,9
9,3
%
100,0
9,3
36,8
2,5
2,6
3,6
4,2
5,6
5,6
5,9
6,2
7,4
10,2
%
Appendix P3: The ten leading underlying natural causes of death by district municipality of death occurrence, Free State, 2014*
Statistics South Africa
100,0
9,8
49,9
2,1
2,2
2,8
3,2
3,3
3,8
4,7
5,3
6,4
6,4
%
122
Human immunodeficiency virus [HIV] disease (B20-B24)
Other viral diseases (B25-B34)
9
10
72
76
89
Hypertensive diseases (I10-I15)
Other viral diseases (B25-B34)
Chronic lower respiratory diseases (J40-J47)
7
8
9
10
99
121
166
174
184
*Excluding cases with unspecified district municipality.
All causes
4 349
398
Intestinal infectious diseases (A00-A09)
6
185
Non-natural causes
Other forms of heart disease (I30-I52)
5
263
265
1 618
Influenza and pneumonia (J09-J18)
4
316
560
No.
2 827
Other natural causes
Cerebrovascular diseases (I60-I69)
Diabetes mellitus (E10-E14)
3
Human immunodeficiency virus [HIV] disease (B20-B24)
2
Sisonke
Tuberculosis (A15-A19)**
1
All causes
413
Other acute lower respiratory infections (J20-J22)
8
113
Non-natural causes
Intestinal infectious diseases (A00-A09)
7
144
972
Hypertensive diseases (I10-I15)
6
151
174
180
190
253
No.
Other natural causes
Influenza and pneumonia (J09-J18)
Diabetes mellitus (E10-E14)
5
3
4
Cerebrovascular diseases (I60-I69)
Other forms of heart disease (I30-I52)
2
Tuberculosis (A15-A19)**
1
Amajuba
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
Ugu
All causes
Non-natural causes
Other natural causes
Intestinal infectious diseases (A00-A09)
Chronic lower respiratory diseases (J40-J47)
Other forms of heart disease (I30-I52)
Hypertensive diseases (I10-I15)
Other viral diseases (B25-B34)
Influenza and pneumonia (J09-J18)
Human immunodeficiency virus [HIV] disease (B20-B24)
Diabetes mellitus (E10-E14)
Cerebrovascular diseases (I60-I69)
Tuberculosis (A15-A19)**
All causes
Non-natural causes
Other natural causes
Renal failure (N17-N19)
Hypertensive diseases (I10-I15)
Ischaemic heart diseases (I20-I25)
Influenza and pneumonia (J09-J18)
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
Cerebrovascular diseases (I60-I69)
Other forms of heart disease (I30-I52)
Diabetes mellitus (E10-E14)
Tuberculosis (A15-A19)**
eThekwini Metro
**Including deaths due to MDR-TB and XDR-TB.
100,0
9,2
37,2
2,3
2,8
3,8
4,0
4,2
4,3
6,0
6,1
7,3
12,9
%
100,0
14,6
34,4
2,5
2,7
3,1
4,0
5,1
5,3
6,2
6,4
6,7
8,9
%
100,0
11,1
34,3
2,8
3,1
3,7
3,7
4,1
4,8
5,9
6,8
7,1
12,6
%
100,0
10,4
41,8
2,2
2,5
3,1
3,2
3,3
4,8
5,6
6,2
6,4
10,5
%
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
uMgungundlovu
779
All causes
Non-natural causes
Other natural causes
Malignant neoplasms of digestive organs (C15-C26)
Influenza and pneumonia (J09-J18)
Ischaemic heart diseases (I20-I25)
Intestinal infectious diseases (A00-A09)
Other forms of heart disease (I30-I52)
Hypertensive diseases (I10-I15)
10 784
1 118
4 284
296
311
316
344
351
542
649
Human immunodeficiency virus [HIV] disease (B20B24) Cerebrovascular diseases (I60-I69)
869
925
No.
4 366
431
1 591
120
130
Diabetes mellitus (E10-E14)
Tuberculosis (A15-A19)**
All causes
Non-natural causes
Other natural causes
Influenza and pneumonia (J09-J18)
Hypertensive diseases (I10-I15)
132
158
Ischaemic heart diseases (I20-I25)
164
Human immunodeficiency virus [HIV] disease (B20B24)
202
212
278
350
598
No.
Other forms of heart disease (I30-I52)
Intestinal infectious diseases (A00-A09)
Other viral diseases (B25-B34)
Diabetes mellitus (E10-E14)
Cerebrovascular diseases (I60-I69)
Tuberculosis (A15-A19)**
iLembe
%
100,0
10,4
39,7
2,7
2,9
2,9
3,2
3,3
5,0
6,0
7,2
8,1
8,6
%
100,0
9,9
36,4
2,7
3,0
3,0
3,6
3,8
4,6
4,9
6,4
8,0
13,7
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
7 782
864
2 671
220
241
286
287
321
370
461
528
555
978
No.
16 604
1 726
6 945
370
421
509
536
541
800
926
1 029
1 057
1 744
No.
Appendix P4: The ten leading underlying natural causes of death by district municipality of death occurrence, KwaZulu-Natal, 2014*
Statistics South Africa
123
Diabetes mellitus (E10-E14)
Other forms of heart disease (I30-I52)
Intestinal infectious diseases (A00-A09)
Hypertensive diseases (I10-I15)
Influenza and pneumonia (J09-J18)
Other bacterial diseases (A30-A49)
4
6
7
8
9
10
196
47
89
107
130
155
159
159
*Excluding cases with unspecified district municipality.
7 771
888
All causes
3 135
142
219
228
275
293
342
431
449
553
816
Non-natural causes
Malignant neoplasms of digestive organs (C15-C26)
10
3 471
No.
Other natural causes
Influenza and pneumonia (J09-J18)
Other forms of heart disease (I30-I52)
6
9
Other viral diseases (B25-B34)
5
Hypertensive diseases (I10-I15)
Cerebrovascular diseases (I60-I69)
4
Intestinal infectious diseases (A00-A09)
Diabetes mellitus (E10-E14)
3
8
Human immunodeficiency virus [HIV] disease (B20-B24)
2
7
Tuberculosis (A15-A19)**
uThungulu
1
All causes
357
Other viral diseases (B25-B34)
4
1 261
Cerebrovascular diseases (I60-I69)
3
373
Non-natural causes
Human immunodeficiency virus [HIV] disease (B20-B24)
2
438
No.
Other natural causes
Tuberculosis (A15-A19)**
1
uMkhanyakude
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
Zululand
All causes
Non-natural causes
Other natural causes
Other acute lower respiratory infections (J20-J22)
Hypertensive diseases (I10-I15)
Influenza and pneumonia (J09-J18)
Other forms of heart disease (I30-I52)
Other viral diseases (B25-B34)
Intestinal infectious diseases (A00-A09)
Human immunodeficiency virus [HIV] disease (B20-B24)
Diabetes mellitus (E10-E14)
Cerebrovascular diseases (I60-I69)
Tuberculosis (A15-A19)**
All causes
Non-natural causes
Other natural causes
Hypertensive diseases (I10-I15)
Other acute lower respiratory infections (J20-J22)
Influenza and pneumonia (J09-J18)
Intestinal infectious diseases (A00-A09)
Diabetes mellitus (E10-E14)
Other forms of heart disease (I30-I52)
Other viral diseases (B25-B34)
Human immunodeficiency virus [HIV] disease (B20-B24)
Cerebrovascular diseases (I60-I69)
Tuberculosis (A15-A19)**
uMzinyathi
**Including deaths due to MDR-TB and XDR-TB.
100,0
11,4
40,3
1,8
2,8
2,9
3,5
3,8
4,4
5,5
5,8
7,1
10,5
%
100,0
10,3
36,3
1,4
2,6
3,1
3,7
4,5
4,6
4,6
5,6
10,7
12,6
%
100,0
9,8
36,3
2,3
2,7
3,8
4,6
4,7
4,9
5,1
5,3
5,5
15,0
%
100,0
9,4
35,8
2,8
3,3
3,9
4,4
4,4
6,1
6,6
6,7
6,8
9,9
%
10
9
8
7
6
5
4
3
2
1
All causes
Non-natural causes
Other natural causes
Ischaemic heart diseases (I20-I25)
Hypertensive diseases (I10-I15)
Influenza and pneumonia (J09-J18)
Other forms of heart disease (I30-I52)
Intestinal infectious diseases (A00-A09)
Diabetes mellitus (E10-E14)
Other viral diseases (B25-B34)
7 904
679
2 409
215
319
360
389
435
438
451
548
703
Human immunodeficiency virus [HIV] disease (B20B24) Cerebrovascular diseases (I60-I69)
958
No.
Tuberculosis (A15-A19)**
uThukela
100,0
8,6
30,5
2,7
4,0
4,6
4,9
5,5
5,5
5,7
6,9
8,9
12,1
%
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
5 881
577
2 136
134
161
224
272
276
287
299
310
325
880
No.
4 515
425
1 617
126
148
177
198
199
274
300
301
305
445
No.
Appendix P4: The ten leading underlying natural causes of death by district municipality of death occurrence, KwaZulu-Natal, 2014* (concluded)
Statistics South Africa
124
Human immunodeficiency virus [HIV] disease (B20-B24)
Chronic lower respiratory diseases (J40-J47)
9
10
270
321
391
216
214
Human immunodeficiency virus [HIV] disease (B20-B24)
Other viral diseases (B25-B34)
Certain disorders involving the immune mechanism (D80D89)
8
9
10
*Excluding cases with unspecified district municipality.
9 053
609
Non-natural causes
All causes
4 045
Other natural causes
306
326
400
Intestinal infectious diseases (A00-A09)
405
Diabetes mellitus (E10-E14)
5
435
590
7
Cerebrovascular diseases (I60-I69)
4
750
757
No.
11 280
6
Influenza and pneumonia (J09-J18)
Hypertensive diseases (I10-I15)
3
Other forms of heart disease (I30-I52)
Tuberculosis (A15-A19)**
2
Ngaka Modiri Molema
1
All causes
4 599
Other viral diseases (B25-B34)
8
444
1 093
Intestinal infectious diseases (A00-A09)
7
565
Non-natural causes
Cerebrovascular diseases (I60-I69)
6
591
673
679
739
915
No.
Other natural causes
Influenza and pneumonia (J09-J18)
Diabetes mellitus (E10-E14)
Other forms of heart disease (I30-I52)
3
5
Hypertensive diseases (I10-I15)
2
4
Tuberculosis (A15-A19)**
1
Bojanala Platinum 1
10
9
8
7
6
5
4
3
2
All causes
Non-natural causes
Other natural causes
Malignant neoplasms of digestive organs (C15-C26)
Intestinal infectious diseases (A00-A09)
Diabetes mellitus (E10-E14)
Other viral diseases (B25-B34)
Other forms of heart disease (I30-I52)
Hypertensive diseases (I10-I15)
Influenza and pneumonia (J09-J18)
Cerebrovascular diseases (I60-I69)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)**
Dr Kenneth Kaunda
**Including deaths due to MDR-TB and XDR-TB.
100,0
6,7
44,7
2,4
2,4
3,4
3,6
4,4
4,5
4,8
6,5
8,3
8,4
%
100,0
9,7
40,8
2,4
2,8
3,5
3,9
5,0
5,2
6,0
6,0
6,6
8,1
%
100,0
8,4
46,0
2,7
3,0
3,2
3,4
3,6
3,6
4,2
4,7
6,5
10,7
% 1
10
9
8
7
6
5
4
3
2
335
All causes
Non-natural causes
5 483
337
2 127
129
Certain disorders involving the immune mechanism (D80-D89) Other natural causes
157
263
286
297
325
Diabetes mellitus (E10-E14)
Cerebrovascular diseases (I60-I69)
Influenza and pneumonia (J09-J18)
Other forms of heart disease (I30-I52)
Intestinal infectious diseases (A00-A09)
Other viral diseases (B25-B34)
348
362
Hypertensive diseases (I10-I15)
517
Human immunodeficiency virus [HIV] disease (B20B24)
No.
Tuberculosis (A15-A19)**
Dr Ruth Segomotsi Mompati
100,0
6,1
38,8
2,4
2,9
4,8
5,2
5,4
5,9
6,1
6,3
6,6
9,4
%
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
8 003
669
3 678
219
241
260
269
287
292
335
377
522
854
No.
Appendix P5: The ten leading underlying natural causes of death by district municipality of death occurrence, North West, 2014*
Statistics South Africa
125
Other bacterial diseases (A30-A49)
10
628
681
9 137
All causes
*Excluding cases with unspecified district municipality.
1 037
Non-natural causes
174
3 337
Malignant neoplasms of digestive organs (C15-C26)
10
219
255
336
397
442
444
652
889
955
No.
29 645
Other natural causes
Ischaemic heart diseases (I20-I25)
Chronic lower respiratory diseases (J40-J47)
7
9
Intestinal infectious diseases (A00-A09)
6
8
Cerebrovascular diseases (I60-I69)
Diabetes mellitus (E10-E14)
5
Other forms of heart disease (I30-I52)
Hypertensive diseases (I10-I15)
4
Influenza and pneumonia (J09-J18)
3
Tuberculosis (A15-A19)**
2
Sedibeng
1
All causes
3 199
Chronic lower respiratory diseases (J40-J47)
9
776
15 967
Malignant neoplasms of digestive organs (C15-C26)
8
839
Non-natural causes
Ischaemic heart diseases (I20-I25)
7
1 004
1 054
1 174
1 298
1 385
1 640
No.
Other natural causes
Cerebrovascular diseases (I60-I69)
Human immunodeficiency virus [HIV] disease (B20-B24)
4
Diabetes mellitus (E10-E14)
Influenza and pneumonia (J09-J18)
3
6
Other forms of heart disease (I30-I52)
2
5
Tuberculosis (A15-A19)**
1
City of Johannesburg Metro
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
West Rand
All causes
Non-natural causes
Other natural causes
Intestinal infectious diseases (A00-A09)
Chronic lower respiratory diseases (J40-J47)
Other viral diseases (B25-B34)
Hypertensive diseases (I10-I15)
Ischaemic heart diseases (I20-I25)
Cerebrovascular diseases (I60-I69)
Diabetes mellitus (E10-E14)
Tuberculosis (A15-A19)**
Other forms of heart disease (I30-I52)
Influenza and pneumonia (J09-J18)
All causes
Non-natural causes
Other natural causes
Other viral diseases (B25-B34)
Malignant neoplasms of digestive organs (C15-C26)
Ischaemic heart diseases (I20-I25)
Human immunodeficiency virus [HIV] disease (B20-B24)
Hypertensive diseases (I10-I15)
Influenza and pneumonia (J09-J18)
Cerebrovascular diseases (I60-I69)
Diabetes mellitus (E10-E14)
Other forms of heart disease (I30-I52)
Tuberculosis (A15-A19)**
City of Tshwane Metro
**Including deaths due to MDR-TB and XDR-TB.
100,0
11,3
36,5
1,9
2,4
2,8
3,7
4,3
4,8
4,9
7,1
9,7
10,5
%
100,0
10,8
53,9
2,1
2,3
2,6
2,8
3,4
3,6
4,0
4,4
4,7
5,5
%
100,0
12,0
47,0
2,4
2,5
2,7
3,0
3,2
4,2
4,5
5,7
6,1
6,7
%
100,0
8,9
44,8
2,6
2,9
3,2
4,0
4,8
4,8
5,0
5,3
6,7
6,9
%
10
9
8
7
6
5
4
3
2
1
All causes
Non-natural causes
23 558
2 428
11 668
524
Other natural causes
570
Human immunodeficiency virus [HIV] disease (B20-B24)
584
754
950
954
960
1 064
1 353
1 749
No.
Ischaemic heart diseases (I20-I25)
Intestinal infectious diseases (A00-A09)
Hypertensive diseases (I10-I15)
Diabetes mellitus (E10-E14)
Other viral diseases (B25-B34)
Cerebrovascular diseases (I60-I69)
Other forms of heart disease (I30-I52)
Influenza and pneumonia (J09-J18)
Tuberculosis (A15-A19)**
Ekurhuleni Metro
100,0
10,3
49,5
2,2
2,4
2,5
3,2
4,0
4,0
4,1
4,5
5,7
7,4
%
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
8 576
1 028
4 035
208
215
229
256
275
362
387
486
524
571
No.
23 221
2 061
10 393
607
671
752
936
1 121
1 124
1 166
1 238
1 555
1 597
No.
Appendix P6: The ten leading underlying natural causes of death by district municipality of death occurrence, Gauteng, 2014*
Statistics South Africa
126
399
299
Cerebrovascular diseases (I60-I69)
Intestinal infectious diseases (A00-A09)
Diabetes mellitus (E10-E14)
Other viral diseases (B25-B34)
Other forms of heart disease (I30-I52)
Influenza and pneumonia (J09-J18)
Hypertensive diseases (I10-I15)
Certain disorders involving the immune mechanism (D80D89)
3
4
5
6
7
8
9
10
1 240
*Excluding cases with unspecified district municipality.
13 487
Non-natural causes
All causes
5 263
Other natural causes
508
536
594
604
606
779
1 008
Human immunodeficiency virus [HIV] disease (B20-B24)
2
1 651
Tuberculosis (A15-A19)**
No.
1
Ehlanzeni
10
9
8
7
6
5
4
3
2
1
All causes
Non-natural causes
Other natural causes
Certain disorders involving the immune mechanism (D80-D89)
Other forms of heart disease (I30-I52)
Hypertensive diseases (I10-I15)
Cerebrovascular diseases (I60-I69)
Diabetes mellitus (E10-E14)
Intestinal infectious diseases (A00-A09)
Other viral diseases (B25-B34)
Influenza and pneumonia (J09-J18)
Human immunodeficiency virus [HIV] disease (B20-B24)
Tuberculosis (A15-A19)**
Gert Sibande
**Including deaths due to MDR-TB and XDR-TB.
100,0
9,2
39,0
2,2
3,0
3,8
4,0
4,4
4,5
4,5
5,8
7,5
12,2
%
100,0
10,5
35,9
3,9
4,2
4,4
4,4
4,8
5,2
5,6
6,0
6,4
8,8
%
10
9
8
7
6
5
4
3
2
1
All causes
Non-natural causes
Other natural causes
Other acute lower respiratory infections (J20-J22)
Intestinal infectious diseases (A00-A09)
10 319
1 225
3 789
337
343
391
446
Human immunodeficiency virus [HIV] disease (B20B24) Other viral diseases (B25-B34)
468
526
535
647
774
838
No.
Other forms of heart disease (I30-I52)
Diabetes mellitus (E10-E14)
Cerebrovascular diseases (I60-I69)
Hypertensive diseases (I10-I15)
Influenza and pneumonia (J09-J18)
Tuberculosis (A15-A19)**
Nkangala
11,9
36,7
3,3
3,3
3,8
4,3
4,5
5,1
5,2
6,3
7,5
8,1
%
100,0
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
9 759
1 022
3 499
379
414
427
434
464
507
542
586
623
862
No.
Appendix P7: The ten leading underlying natural causes of death by district municipality of death occurrence, Mpumalanga, 2014*
Statistics South Africa
127
Cerebrovascular diseases (I60-I69)
Other forms of heart disease (I30-I52)
Other viral diseases (B25-B34)
Chronic lower respiratory diseases (J40-J47)
6
7
8
9
10
236
349
465
578
643
656
224
189
Influenza and pneumonia (J09-J18)
Renal failure (N17-N19)
Other forms of heart disease (I30-I52)
Certain disorders involving the immune mechanism (D80D89)
Hypertensive diseases (I10-I15)
6
7
8
9
10
*Excluding cases with unspecified district municipality.
9 261
769
Non-natural causes
All causes
5 211
Other natural causes
182
231
314
334
367
Cerebrovascular diseases (I60-I69)
371
Other viral diseases (B25-B34)
3
475
594
5
Intestinal infectious diseases (A00-A09)
2
No.
12 277
4
Tuberculosis (A15-A19)**
Diabetes mellitus (E10-E14)
1
All causes
Vhembe
Intestinal infectious diseases (A00-A09)
5
658
5 037
Hypertensive diseases (I10-I15)
4
799
1 030
Human immunodeficiency virus [HIV] disease (B20-B24)
3
815
1 011
Non-natural causes
Diabetes mellitus (E10-E14)
2
No.
Other natural causes
Influenza and pneumonia (J09-J18)
Tuberculosis (A15-A19)**
1
Capricorn
10
9
8
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
Waterberg
All causes
Non-natural causes
Other natural causes
Chronic lower respiratory diseases (J40-J47)
Human immunodeficiency virus [HIV] disease (B20-B24)
Other viral diseases (B25-B34)
Cerebrovascular diseases (I60-I69)
Hypertensive diseases (I10-I15)
Diabetes mellitus (E10-E14)
Intestinal infectious diseases (A00-A09)
Other forms of heart disease (I30-I52)
Influenza and pneumonia (J09-J18)
Tuberculosis (A15-A19)**
All causes
Non-natural causes
Other natural causes
Chronic lower respiratory diseases (J40-J47)
Other bacterial diseases (A30-A49)
Other forms of heart disease (I30-I52)
Hypertensive diseases (I10-I15)
Diabetes mellitus (E10-E14)
Cerebrovascular diseases (I60-I69)
Tuberculosis (A15-A19)**
Other viral diseases (B25-B34)
Intestinal infectious diseases (A00-A09)
Influenza and pneumonia (J09-J18)
Greater Sekhukhune
**Including deaths due to MDR-TB and XDR-TB.
100,0
8,3
56,3
2,0
2,0
2,4
2,5
3,4
3,6
4,0
4,0
5,1
6,4
%
100,0
8,4
41,0
1,9
2,8
3,8
4,7
5,2
5,3
5,4
6,5
6,6
8,2
%
100,0
9,6
36,2
2,4
3,4
3,9
4,4
4,7
5,6
5,6
6,3
7,1
10,7
%
100,0
7,7
30,1
2,4
3,0
4,7
5,1
5,4
6,4
6,7
7,2
8,1
13,1
%
10
9
8
7
6
5
4
3
2
1
All causes
Non-natural causes
Other natural causes
Hypertensive diseases (I10-I15)
Other viral diseases (B25-B34)
Cerebrovascular diseases (I60-I69)
Other forms of heart disease (I30-I52)
9 190
641
3 723
315
337
355
393
423
458
Inflammatory diseases of the central nervous system (G00-G09) Renal failure (N17-N19)
508
508
718
811
No.
Diabetes mellitus (E10-E14)
Intestinal infectious diseases (A00-A09)
Influenza and pneumonia (J09-J18)
Tuberculosis (A15-A19)**
Mopani
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
5 132
491
1 857
124
177
202
228
241
287
287
324
365
549
No.
9 244
715
2 781
220
280
430
475
500
591
621
670
753
1 208
No.
Appendix P8: The ten leading underlying natural causes of death by district municipality of death occurrence, Limpopo, 2014*
Statistics South Africa
100,0
7,0
40,5
3,4
3,7
3,9
4,3
4,6
5,0
5,5
5,5
7,8
8,8
%
128
Statistics South Africa
P0309.3
Appendix Q: Population group differences The ten leading underlying causes of death by population group for 2014 are shown in Appendix Q1 (see page 127). Five of the ten leading causes were common for the four population groups, namely cerebrovascular diseases, diabetes mellitus, other forms of heart disease, hypertensive diseases, and chronic lower respiratory diseases, even though their rankings were not the same across all population groups. Tuberculosis was the leading cause of death in 2014 among the black African population, accounting for 10,1% deaths in this population group, whilst for the white population group, the leading cause of death was ischaemic heart diseases responsible for 11,0% deaths in this population group. Among the Indian and coloured population groups, diabetes mellitus was the leading cause of death, accounting for 14,8% and 7,3% deaths in these population groups respectively. Malignant neoplasms of digestive organs and malignant neoplasms of respiratory and intrathoracic organs were part of the ten leading causes of death for all the population groups except for the black African population group. Likewise, the black African population group was the only population group that had intestinal infectious diseases and other viral diseases as part of its ten leading causes of death. The second leading cause of death for the black African population was HIV disease (6,0%), whilst for white population group, other forms of heart disease (6,9%) was the second leading cause. For the Indian population, the second leading cause of death was ischaemic heart diseases, accounting for 12,9% deaths, whilst tuberculosis was the second leading cause of death amongst the coloured population (6,9%). The coloured population had a higher proportion of deaths due to non-natural causes compared to other population groups at (12,1%) and white population group had lowest (8,7). According to the global burden of disease, black Africans had five communicable diseases on the ten leading underlying causes of death. For both white and Indian/Asian population groups, nine of the ten leading underlying causes of death were non-communicable diseases while eight of the ten leading underlying causes of death amongst the coloured population group were non-communicable diseases.
Mortality and causes of death in South Africa, 2014: Findings from death notification
129
… …
4 5 6 7 8 9 10 … … … …
Cerebrovascular diseases (I60-I69)
Diabetes mellitus (E10-E14)
Other forms of heart disease (I30-I52)
Hypertensive diseases (I10-I15)
Other viral diseases (B25-B34)
Intestinal infectious diseases (A00-A09)
Chronic lower respiratory diseases (J40-J47)
Ischaemic heart diseases (I20-I25)
Malignant neoplasms of digestive organs (C15-C26) Malignant neoplasms of respiratory and intrathoracic organs (C30C39)
Renal failure (N17-N19)
19 150
*Including deaths due to MDR-TB and XDR-TB
319 587
35 028
Non natural causes
All causes
122 616
Other natural causes
…
…
6 323
12 518
12 737
13 607
15 353
15 882
16 551
17 417
2 3
Influenza and pneumonia (J09-J18)
32 405
No.
Black African
Human immunodeficiency virus [HIV] disease (B20-B24)
1
Rank
Tuberculosis (A15-A19)
Causes of death (based on ICD-10)
100,0
11,0
38,4
…
…
…
…
2,0
3,9
4,0
4,3
4,8
5,0
5,2
5,4
6,0
10,1
%
10
8
5
1
4
…
…
9
2
6
3
7
…
…
Rank
38 442
3 357
15 143
863
1 268
2 108
4 234
2 150
…
…
1 077
2 655
1 684
2 281
1 622
…
…
No.
White
100,0
8,7
39,4
2,2
3,3
5,5
11,0
5,6
…
…
2,8
6,9
4,4
5,9
4,2
…
…
%
8
10
6
2
5
…
…
7
3
1
4
9
…
…
Rank
100,0
11,0
31,8
3,0
2,0
3,4
12,9
3,7
…
…
3,2
6,4
14,8
5,7
2,1
…
…
%
…
6
9
5
3
…
…
8
10
1
4
…
7
2
Rank
31 018
3 746
11 354
…
1345,0
1147,0
1509,0
1 993
…
…
1 319
996
2 273
1 864
…
1 324
2 148
No.
Colored
100,0
12,1
36,6
…
4,3
3,7
4,9
6,4
…
…
4,3
3,2
7,3
6,0
…
4,3
6,9
%
…
…
…
10
7
9
…
6
5
4
3
2
8
1
Rank
58 072
4 942
35 377
…
…
…
1096
1 398
1 229
…
1 568
1 936
1 984
2 039
2 095
1 372
3 036
No.
100,0
8,5
60,9
…
…
…
1,9
2,4
2,1
…
2,7
3,3
3,4
3,5
3,6
2,4
5,2
%
Other/Unknown/Unspecified
P0309.3
Mortality and causes of death in South Africa, 2014: Findings from death notification
6 241
688
1 983
187
124
213
805
232
…
…
199
399
924
353
134
…
…
No.
Indian or Asian
Appendix Q1: The ten leading underlying natural causes of death by population group, 2014
Statistics South Africa